Organization Active NPI

Carl E. Flinn, M.D., P.C.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Memphis, TN
National Provider Identifier
1245618024
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
Legal business name
CARL E. FLINN, M.D., P.C.
Practice address
773 Estate PL
Memphis, TN 38120-0600
Phone
(901) 681-4040
Fax
(901) 681-4052
NPI assigned
May 12, 2015
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carl E. Flinn, MDNPI 1467481796
Title
Physician and Owner
Phone
(901) 681-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0110X Primary

Addresses

Primary practice location

773 Estate PL
Memphis, TN 38120-0600

Mailing address

773 Estate PL
Memphis, TN 38120-0600
Phone (901) 681-4040

Other practice location 1

6947 Crumpler Blvd
Olive Branch, MS 38654-1922
Phone (901) 681-4040

Other identifiers 1

IdentifierTypeStateIssuer
3015485MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insurance@drcarlflinn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151218000533 TN Part B Supplier - Clinic/Group Practice 7113228016 Receives reassigned benefits from 3 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

773 Estate Pl
Memphis, TN 38120
Phone (901) 681-4040

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1245618024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-681-4040",
            "fax_number": "901-681-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-681-4040",
            "fax_number": "901-681-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6947 Crumpler Blvd",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386541922",
            "country_code": "US",
            "telephone_number": "901-681-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARL E. FLINN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "901-681-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015485",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@drcarlflinn.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "773 Estate Pl",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381200600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.