Active NPI
Corey Michael Carson, M.D.
- Family Medicine Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 98617
- Practice address
- 660 Cherokee St NE Ste 100
Marietta, GA 30060-8930 - Phone
- (678) 797-8201
- NPI assigned
- May 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 98617 | GA | |
| Family Medicine Physician | 207Q00000X | 98617 | GA | Primary |
Addresses
Primary practice location
660 Cherokee St NE Ste 100
Marietta, GA 30060-8930
Mailing address
660 Cherokee St NE
Marietta, GA 30060-8965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Eastern Virginia Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
660 Cherokee St NE
Suite 100
Marietta, GA 30060-8930
Phone (678) 797-8210
Hospital & facility affiliations
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98617 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Piedmont Medical Care Corporation | Family Medicine | Current | Accepting new patients |
| Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients |
Locations
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
3544 30th St
San Diego, CA 92104
Phone (619) 515-2424
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
660 Cherokee St NE
Ste 100
Marietta, GA 30060
Phone (678) 797-8201
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1235521782
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1245599778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 CHEROKEE ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 CHEROKEE ST NE STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608930",
"telephone_number": "678-797-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "COREY",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-03",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "GA",
"license": "98617",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "98617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.