Edward Garrison Carlos, MD
Individual provider Active NPI Internal Medicine Physician · Mobile, AL
NPI 1346248358 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1346248358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 00017165 (AL)
- Practice address
- 101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608-1787 - Phone
- (251) 414-5900
- Fax
- (251) 281-1269
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alabama Medical Group PC
Practice addresses (Care Compare)
101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1787
Phone (251) 414-5900
Hospital & facility affiliations
- Springhill Home Health and Hospice
- Saad Healthcare
- Amedisys Home Health Care
- Aveanna Home Health
- Springhill Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040217000178 | AL | Practitioner - Internal Medicine |
8325952336 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00017165 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Medical Group, PC | Internal Medicine | Current |
Accepting new patients |
| Springhill Nursing Homes, Inc | Past | Accepting new patients |
Locations
101 Memorial Hospital Dr
#2
Mobile, AL 36608
Phone (251) 414-5900
3717 Dauphin St
Mobile, AL 36608
Phone (251) 343-0909
101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079
Interoperability endpoints
- edwardcarlos@amgmd.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00017165 | AL | Yes |
Addresses
Primary practice location
101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608-1787
Mailing address
101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608-1787
Phone (251) 414-5900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000025243 | Medicaid | AL | |
| 0410634 | Other | AL | UNITED HEALTHCARE |
| 051025243 | Other | AL | BCBS |
Other providers in Mobile, AL
- Carl & Associates
- Carl and Associates Inc
- Kathleen R. Carlen-Magnone
- Carlisle Medical Inc
- Carlisle Medical, Inc.
- Connor Cheyenne Carlton
- Megan E Carlyle
- Carmel Health Network
- Bishop L Carmichael
- Deborah Carmichael
All providers in Mobile, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.