Active NPI
Jeremy Allan Carter
- Family Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2025-03569
- Practice address
- 2400 South Blvd Ste 103
Charlotte, NC 28203-5773 - Phone
- (704) 316-3017
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036166394 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 2025-03569 | NC | Primary |
Addresses
Primary practice location
2400 South Blvd Ste 103
Charlotte, NC 28203-5773
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-3017
Other practice location 1
1007 Church St Ste 100
Evanston, IL 60201-5910
Phone (847) 475-4555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NC
- 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
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1007 Church St
Suite 100
Evanston, IL 60201-5910
Phone (847) 475-4555
2650 Ridge Ave
Evanston, IL 60201-1700
Hospital & facility affiliations
- Residential Home Health
- Northshore University Healthsystem - Evanston Hospital
- Swedish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036166394 | IL | MD | Family Medicine Physician |
| 2025-03569 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Endeavor Health Medical Group | Multi-Specialty | Current | Accepting new patients |
| Endeavor Health Medical Group | Multi-Specialty | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
1007 Church St
Ste 100
Evanston, IL 60201
Phone (847) 475-4555
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
2400 South Blvd
Ste 103
Charlotte, NC 28203
Phone (704) 316-3000
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 5
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
- Evanston, IL
- NPI 1497701882
Multi-Specialty
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Multi-Specialty
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- Home Health Agency
- Northbrook, IL
- NPI 1114673787
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1467089185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-316-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SOUTH BLVD STE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035773",
"telephone_number": "704-316-3017"
}
],
"practiceLocations": [
{
"address_1": "1007 Church St Ste 100",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602015910",
"country_code": "US",
"telephone_number": "847-475-4555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "JEREMY",
"middle_name": "ALLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036166394",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "2025-03569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.