Individual provider Active NPI

Ann Degroff Carter, MD

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1417946674
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15858 Issued in TN
Practice address
8404 Corteland Dr
Knoxville, TN 37909
Phone
(865) 250-0694
Fax
(865) 835-5139
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000015858 TN
Family Medicine Physician 207Q00000X 15858 TN Primary

Addresses

Primary practice location

8404 Corteland Dr
Knoxville, TN 37909

Mailing address

8404 Corteland Dr
Knoxville, TN 37909
Phone (865) 250-0694

Other identifiers 1

IdentifierTypeStateIssuer
3012635MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carter.ann@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20070924000753 TN Practitioner - Family Practice 4284728056 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15858TNMDFamily Medicine Physician
MD0000015858TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Oct 1, 2007 Accepting new patients
Ann Degroff Carter PLLC Family Medicine CurrentSince Jul 15, 2023 Accepting new patients
Covenant Medical Group, Inc. Family Medicine CurrentSince Oct 1, 2007 Accepting new patients
Diversicare Briarcliff, LLC Past Accepting new patients

Locations

Dept 888179
Knoxville, TN 37995

448 N Cedar Bluff Rd
Knoxville, TN 37923

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

100 Elmhurst Dr
Oak Ridge, TN 37830
Phone (865) 481-3367

200 New York Ave
Ste 160
Oak Ridge, TN 37830
Phone (865) 483-5639

103 Bennett Rd
#D
Oliver Springs, TN 37840
Phone (865) 435-1933

Interoperability endpoints

  • Direct secure messaging: ann.carter.1@17050.direct.athenahealth.com
  • Direct secure messaging: carter.ann@covenanthealth.cernerdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1417946674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 CORTELAND DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37909",
            "telephone_number": "865-250-0694",
            "fax_number": "865-835-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 CORTELAND DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37909",
            "telephone_number": "865-250-0694",
            "fax_number": "865-835-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANN",
        "middle_name": "DEGROFF",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000015858",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "15858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012635",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carter.ann@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "200 New York Ave",
            "address_2": "Suite 160",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378305212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.