Peter E Carr, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

59259 Issued in KY

Practice address

5979 Desert Storm Ave
Fort Campbell, KY 42223-5514

Phone

(931) 561-6034

NPI assigned

Feb 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Emergency Medicine

Education

University of Kentucky College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Fairview Emergency Physicians LLCGroup PAC ID 5799034799, 40 clinicians

Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pcarr833572@direct.sw.org

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.

• Baptist Health Deaconess Medical Group Inc

  • Internal Medicine Physician
  • Madisonville, KY
  • NPI 1437730942
  Medicare reassignment Care Compare group NPD
• West Fairview Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ashland, KY
  • NPI 1578060331
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Baptist Health Deaconess Medical Group Inc

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1184205643
  NPD
• Baptist Health Deaconess Medical Group Inc

  • Hospitalist Physician
  • Madisonville, KY
  • NPI 1972320430

  Emergency Medicine

  NPD

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

• Baptist Health Deaconess Madisonville Inc

  • Rural Acute Care Hospital
  • Madisonville, KY
  • NPI 1447231956
  Care Compare affiliation
• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1356842363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 DESERT STORM AVE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235514",
            "telephone_number": "931-561-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 DESERT STORM AVE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235514",
            "telephone_number": "931-561-6034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Jbsa Ft Sam Houston",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-220-7961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11050 Mount Belvedere Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Drum",
            "state": "NY",
            "postal_code": "13602",
            "country_code": "US",
            "telephone_number": "315-774-4815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36065 Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "765445060",
            "country_code": "US",
            "telephone_number": "254-553-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "PETER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-25",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "32007",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "59259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.e.carr.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "Gov email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "36065 Santa Fe Ave",
            "city": "Fort Hood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765445060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Kay Cannon, LPC
• Lyle Wayne Carlson, PHD
• Meredith Carlson, PA-C
• Emily Elise Carmody, PA-C
• Catelyn Carpenter, PSY.D.
• Stephanie Ross Carrico, NURSE CASE MANAGER R
• Maria L. Carrier, LCSW
• Kathy Lynn Carter, RN
• Ian Cassaday, D.O.
• Clayton Cassidy

• Emergency Medicine Physician in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.