Active NPI
Michaeleena Marie Carr, D.O.
- Emergency Medicine Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 39098
- Practice address
- 14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896 - Phone
- (803) 434-1663
- Fax
- (803) 434-3894
- NPI assigned
- Jul 1, 2011
- Last updated
- Nov 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS17056 | FL | |
| Emergency Medicine Physician | 207P00000X | 39098 | SC | Primary |
| Family Medicine Physician | 207Q00000X | OS17056 | FL |
Addresses
Primary practice location
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000
Other practice location 2
129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001
113 N Orlando Ave
Winter Park, FL 32789-3675
Phone (407) 801-8400
14 Richland Medical Park Dr
Suite 350
Columbia, SC 29203-6896
Phone (803) 434-1663
1603 Missouri Ave N
Largo, FL 33770-1825
Phone (727) 614-0020
2465 N Orange Blossom TRL
Kissimmee, FL 34744-2345
Phone (904) 329-1942
9580 W Colonial Dr
Ocoee, FL 34761-6947
Phone (321) 888-2511
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.55 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39098 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Multi-Specialty | Current | Accepting new patients |
| Prisma Health Tuomey | Multi-Specialty | Current | Accepting new patients |
| Prisma Health Tuomey | Current | Accepting new patients | |
| Guidewell Emergency Medicine Doctors, LLC | Multi-Specialty | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Multi-Specialty | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Guidewell Emergency Medicine Doctors, LLC | Past | Accepting new patients |
Locations
113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400
14 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-1663
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
107 McLeod Health Blvd
Myrtle Beach, SC 29579
Phone (843) 646-8001
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752
Networks
- Freedom Health HMO Network
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Urgent Care Clinic/Center
- Winter Park, FL
- NPI 1629497235
Multi-Specialty
-
dba Prisma Health Emergency Physicans Tuomey
- Emergency Medicine Physician
- Sumter, SC
- NPI 1548625593
Multi-Specialty
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
dba Prisma Health Tuomey Acute Rehabilitation
- Rehabilitation Hospital Unit
- Sumter, SC
- NPI 1609895663
-
dba GuideWell Emergency Medicine Doctors Imaging
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1639973555
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Loris Community Hospital
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
dba Prisma Health Tuomey Hosptial
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1427345123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 350",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036896",
"telephone_number": "803-434-1663",
"fax_number": "803-434-3894"
}
],
"practiceLocations": [
{
"address_1": "10800 Knights Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191144200",
"country_code": "US",
"telephone_number": "215-612-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "129 N Washington St",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291504949",
"country_code": "US",
"telephone_number": "803-774-9971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "MICHAELEENA",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS17056",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "39098",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS17056",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.