Individual provider Active NPI

Alan Keith Carnes Jr., M.D.

  • Urology Physician
  • Watkinsville, GA
National Provider Identifier
1295140747
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
82345 Issued in GA
Practice address
1150 Golden Way
Watkinsville, GA 30677-7712
Phone
(706) 612-9401
Fax
(706) 612-9420
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 82345 GA Primary

Addresses

Primary practice location

1150 Golden Way
Watkinsville, GA 30677-7712

Mailing address

1150 Golden Way
Watkinsville, GA 30677-7712
Phone (706) 612-9401

Other practice location 1

644 N Chase St Ste 105
Athens, GA 30601-1960
Phone (706) 612-9401

Other practice location 2

930 Franklin Springs St
Royston, GA 30662-3908
Phone (706) 612-9401

Other identifiers 1

IdentifierTypeStateIssuer
003223203AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190725000556 GA Practitioner - Urology 8729374269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Area Urology PCGroup PAC ID 0446491641, 18 clinicians

Practice addresses (Care Compare)

1150 Golden Way
Watkinsville, GA 30677-7712
Phone (706) 612-9401

1740 Lions Club Rd
Suite 200
Madison, GA 30650-4762
Phone (706) 612-9401

930 Franklin Springs St
Royston, GA 30662-3908
Phone (706) 612-9401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82345GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Area Urology, PC Urology CurrentSince Aug 1, 2019 Accepting new patients

Locations

2142 W Broad St
Bldg 200
Athens, GA 30606
Phone (706) 548-6881

644 N Chase St
Ste 105
Athens, GA 30601

2142 W Broad St
Bldg 100
Athens, GA 30606
Phone (706) 548-6881

340 Exchange Blvd
Ste 110
Bethlehem, GA 30620
Phone (770) 532-9023

1740 Lions Club Rd
Ste 200
Madison, GA 30650
Phone (706) 597-0102

930 Franklin Springs St
Royston, GA 30662
Phone (706) 246-9729

1150 Golden Way
Watkinsville, GA 30677
Phone 8888180563300

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1295140747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GOLDEN WAY",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777712",
            "telephone_number": "706-612-9401",
            "fax_number": "706-612-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GOLDEN WAY",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777712",
            "telephone_number": "706-612-9401",
            "fax_number": "706-612-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 N Chase St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306011960",
            "country_code": "US",
            "telephone_number": "706-612-9401",
            "fax_number": "706-612-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Franklin Springs St",
            "address_purpose": "LOCATION",
            "city": "Royston",
            "state": "GA",
            "postal_code": "306623908",
            "country_code": "US",
            "telephone_number": "706-612-9401",
            "fax_number": "706-612-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNES",
        "first_name": "ALAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "82345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003223203A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.