Michael Robin Carr V, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008936 Issued in GA

Practice address

100 W Chason St
Donalsonville, GA 39845-1284

Phone

(229) 524-5772

Fax

(229) 524-5900

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michael R. Carr, DMD

  • General Practice Dentistry
  • Donalsonville, GA
  • NPI 1336392349
  NPD (past) Authorized official

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1316935786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CHASON ST",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451284",
            "telephone_number": "229-524-5772",
            "fax_number": "229-524-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CHASON ST",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451284",
            "telephone_number": "229-524-5772",
            "fax_number": "229-524-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MICHAEL",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00167681A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Royce M Cannington, CRNA
• Sheryl P Cannington, R. PH.
• Carenation Pediatrics
• CBS Healthcare, LLC
• CBS Healthcare, LLC
• Clara Clark, RN
• Jamaca Rashad Coachman, DPT
• Donalsonville Hospital Inc

• General Practice Dentistry in Donalsonville, GA
• Providers in Donalsonville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.