Gloria Carr, MD

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-038999 Issued in AL

Practice address

3060 Mobile Hwy
Montgomery, AL 36108-4027

Phone

(334) 293-6670

Fax

(334) 293-6676

NPI assigned

Jan 5, 2006

Last updated

Apr 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health Services Inc

  dba Hayneville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218
  NPD
• Health Services Inc

  dba Autaugaville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Autaugaville, AL
  • NPI 1992727853
  NPD
• Health Services, Inc

  dba Montgomery Primary Care

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1528082336
  NPD
• Health Services, Inc.

  dba Living Well Specialty Clinic

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1184284986
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1306824677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ADAMS AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361044424",
            "telephone_number": "334-263-2301",
            "fax_number": "334-263-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MOBILE HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361084027",
            "telephone_number": "334-293-6670",
            "fax_number": "334-293-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "GLORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-038999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51517284",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630902068",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Michelle Caro
• Aubrey Carpenter, LICSW
• Carri Annette Carpenter, PT
• Kimberly Carpenter, CRNA
• Denise Carr-Deramus, LPC, NCC
• Tera S Carr, PA
• Saeun Carrie
• Lee Van Carroll Jr., M.D.
• Markia L Carson, PHARM D
• Allison Christine Carter, FNP-C

• Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.