Individual provider Active NPI

Carl E. Flinn, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Memphis, TN
National Provider Identifier
1467481796
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
12829 Issued in TN
Practice address
773 Estate PL
Memphis, TN 38120-0600
Phone
(901) 681-4040
Fax
(901) 681-4052
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12829 TN
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 12829 TN Primary

Addresses

Primary practice location

773 Estate PL
Memphis, TN 38120-0600

Mailing address

773 Estate PL
Memphis, TN 38120-0600
Phone (901) 681-4040

Other practice location 1

6947 Crumpler Blvd
Olive Branch, MS 38654-1922
Phone (901) 681-4040

Other identifiers 2

IdentifierTypeStateIssuer
3015485OtherTNBCBS
2597959OtherTNCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insurance@drcarlflinn.com Direct

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
I20081031000086 TN Practitioner - Ophthalmology 4183783483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

773 Estate PL
Memphis, TN 38120-0600
Phone (901) 681-4040

773 Estate Place
Memphis, TN 38120-0600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12829TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carl E. Flinn, M.D., P.C. Specialist CurrentSince Jun 23, 2015 Accepting new patients

Locations

6947 Crumpler Blvd
Olive Branch, MS 38654
Phone (662) 893-3300

773 Estate Pl
Memphis, TN 38120
Phone (901) 681-4040

Interoperability endpoints

  • Direct secure messaging: cflinn24054@mlh.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1467481796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-681-4040",
            "fax_number": "901-681-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-681-4040",
            "fax_number": "901-681-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6947 Crumpler Blvd",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386541922",
            "country_code": "US",
            "telephone_number": "901-681-4040",
            "fax_number": "901-681-4052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLINN",
        "first_name": "CARL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-12-14",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "12829",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "TN",
            "license": "12829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3015485",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2597959",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@drcarlflinn.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "773 Estate Pl",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381200600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.