Kristina Nicole Carswell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

85877 Issued in GA

Practice address

406 46TH Ave N
Myrtle Beach, SC 29577-2732

Phone

(478) 397-0947

NPI assigned

May 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Medicare reassignment NPD
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  NPD

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1407174147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COBBLESTONE LN",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888209",
            "telephone_number": "843-449-1438",
            "fax_number": "843-286-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 46TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772732",
            "telephone_number": "478-397-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSWELL",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME116618",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "85877",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MD39717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009265300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Carrado
• Paula H. Carralero, RN
• Brittany Danielle Carroll
• Miriam Grace Carroll, REGISTERED NURSE
• Robert Carrow, APN
• Briana Rachel Carter, DO
• David Little Carter, D.O.
• Lucretia Carter
• Mary Margaret Kanoy Carter, DO
• Whitney Michelle Carter, ATC

• Pediatrics Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.