Organization Active NPI

Carroll Family Physicians Inc

  • Family Medicine Physician
  • Hillsville, VA
National Provider Identifier
1467564690
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARROLL FAMILY PHYSICIANS INC
Practice address
523 North Main Street
Carroll Family Physicians Inc
Hillsville, VA 24343
Phone
(276) 768-4311
Fax
(276) 728-0901
NPI assigned
Sep 1, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
James Henry Deboe Jr., MDNPI 1376523423
Title
President
Phone
(276) 728-4311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

523 North Main Street
Carroll Family Physicians Inc
Hillsville, VA 24343

Mailing address

PO Box 4127
Carroll Family Physicians Inc
Roanoke, VA 24343
Phone (540) 981-0283

Other identifiers 2

IdentifierTypeStateIssuer
B09393OtherUPIN
226463OtherANTHEM

National Provider Directory

National Provider Directory

Locations

523 N Main St
Hillsville, VA 24343
Phone (276) 728-4311

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1467564690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "address_2": "CARROLL FAMILY PHYSICIANS INC",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24343",
            "telephone_number": "540-981-0283",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 NORTH MAIN STREET",
            "address_2": "CARROLL FAMILY PHYSICIANS INC",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "24343",
            "telephone_number": "276-768-4311",
            "fax_number": "276-728-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL FAMILY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "DEBOE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-728-4311",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B09393",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "226463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.