Robert Carroll II, LICENSED MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

705 Issued in GA

Practice address

2375 Shallowford Rd NE
Atlanta, GA 30345-1342

Phone

(404) 216-3882

NPI assigned

May 8, 2018

Last updated

May 8, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Marriage and Family Therapist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ascend Medical Georgia II PCGroup PAC ID 0547657181, 16 clinicians

Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.carroll.1@30437.direct.athenahealth.com

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.

• Ascend Medical Georgia II PC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1659966075
  Medicare reassignment Care Compare group NPD
• Ascend Medical Georgia PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1841800836
  Medicare reassignment Care Compare group NPD
• Ascend Medical Austin Texas, PA

  • Family Medicine Physician
  • Austin, TX
  • NPI 1366015794
  Medicare reassignment NPD

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1336638022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 SHALLOWFORD RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451342",
            "telephone_number": "404-216-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 SHALLOWFORD RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451342",
            "telephone_number": "404-216-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ROBERT",
        "name_suffix": "II",
        "credential": "LICENSED MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Carroll, MD
• Lanta L Carroll, LPC
• Mary Joyce Carroll
• Matthew Carroll
• Michael Scott Carroll, MD
• Scott Whalen Carroll
• Thomas Laughren Carroll, DDS
• Timothty Carroll, RPH
• Whitney Carroll
• Carrs Caring Hands

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.

Verify at the official NPI Registry.