Individual provider Active NPI

Sandra L Carpenter, M.D.

  • Family Medicine Physician
  • Gadsden, AL
National Provider Identifier
1285697425
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22495 Issued in AL
Practice address
403 Bay St
Gadsden, AL 35901-5107
Phone
(256) 546-1011
Fax
(256) 546-3011
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22495 AL Primary

Addresses

Primary practice location

403 Bay St
Gadsden, AL 35901-5107

Mailing address

403 Bay St
Gadsden, AL 35901-5107
Phone (256) 546-1011

Other identifiers 2

IdentifierTypeStateIssuer
01D0987421OtherALCLIA WAIVED
009959790MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000272 AL Practitioner - Family Practice 9133295504 Reassigns benefits to 1 organization
Practice locations: Gadsden, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22495ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Regional Physician Group Practice LLC Family Medicine CurrentSince Dec 12, 2011 Accepting new patients
Allervie Health Professional Corporation Past Accepting new patients
Allergy Associates, Inc Past Accepting new patients

Locations

403 Bay St
Gadsden, AL 35901
Phone (256) 546-1011

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1026 Goodyear Ave
Ste 100
Gadsden, AL 35903
Phone (256) 413-6240

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23678/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285697425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015107",
            "telephone_number": "256-546-1011",
            "fax_number": "256-546-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015107",
            "telephone_number": "256-546-1011",
            "fax_number": "256-546-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "22495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVED",
            "identifier": "01D0987421",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009959790",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.