Active NPI
Michael James Carr, ACNP-BC
- Nurse Practitioner
- North Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2268814
- Practice address
- 480 Hawthorn St
Southcoast Physicians Group, Inc.
North Dartmouth, MA 02747-3713 - Phone
- (508) 993-3555
- Fax
- (508) 990-1176
- NPI assigned
- Nov 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2268814 | MA | Primary |
Addresses
Primary practice location
480 Hawthorn St
Southcoast Physicians Group, Inc.
North Dartmouth, MA 02747-3713
Mailing address
200 Mill Rd Ste 200
Southcoast Physicians Group, Inc
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4 Centennial Dr
Suite 204
Peabody, MA 01960-7930
Phone (978) 977-0351
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| North Shore Medical Center, Inc. | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce | Past | Accepting new patients |
Locations
110 Francis St
Ste 3B
Boston, MA 02215
Phone (617) 632-7246
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
4 Centennial Dr
Ste 204
Peabody, MA 01960
Phone (978) 977-0351
Interoperability endpoints
- mcarr254092@direct.bilh.masshiway.net
- carr.michael.nsmc@direct.partners.masshiway.net
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Surgery Physician
- Boston, MA
- NPI 1720037385
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- Dermatology Physician
- Boston, MA
- NPI 1043250616
-
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1427392034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD STE 200",
"address_2": "SOUTHCOAST PHYSICIANS GROUP, INC",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 HAWTHORN ST",
"address_2": "SOUTHCOAST PHYSICIANS GROUP, INC.",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "027473713",
"telephone_number": "508-993-3555",
"fax_number": "508-990-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2268814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.