Active NPI
Jessica Carter, MD
- Anesthesiology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2017-00277
- Practice address
- 169 Ashley Ave
Main Hosptial, MSC 333
Charleston, SC 29425-8905 - Phone
- (843) 792-4638
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL34608 | SC | |
| Anesthesiology Physician | 207L00000X | 2017-00277 | NC | Primary |
Addresses
Primary practice location
169 Ashley Ave
Main Hosptial, MSC 333
Charleston, SC 29425-8905
Mailing address
169 Ashley Ave
Main Hosptial, MSC 333
Charleston, SC 29425-8905
Phone (843) 792-4638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170913004026 | NC | Practitioner - Anesthesiology | 8022381011 | Reassigns benefits to 2 organizations |
| I20210312002268 | SC | Practitioner - Anesthesiology | 8022381011 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Duke University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Carolina Anesthesia Associates PLLC
Practice addresses (Care Compare)
2825 Randolph Rd
Charlotte, NC 28211-1018
Phone (704) 377-1647
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL34608 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Anesthesiology | Past | Accepting new patients |
Locations
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Anesthesiology, NC
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
Anesthesiology, NC, SC
-
- Anesthesiology Physician
- Rock Hill, SC
- NPI 1649879644
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1295096352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE",
"address_2": "MAIN HOSPTIAL, MSC 333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE",
"address_2": "MAIN HOSPTIAL, MSC 333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JESSICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL34608",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2017-00277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.