Active NPI
Grady Lee Carter III, D.O.
- Physical Medicine & Rehabilitation Physician
- Keller, TX
National Provider Identifier
1467594010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- E1530
- Practice address
- 601 S Main St
Suite 260
Keller, TX 76248-7029 - Phone
- (972) 393-8067
- NPI assigned
- Feb 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E1530 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | E1530 | TX | Primary |
Addresses
Primary practice location
601 S Main St
Suite 260
Keller, TX 76248-7029
Mailing address
6137 Haley LN
Fort Worth, TX 76132-3876
Phone (214) 914-6773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1530 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Associates of Irving PLLC | Past | Accepting new patients | |
| Irst Health | Past | Accepting new patients | |
| Patheous Medical PLLC | Past | Accepting new patients | |
| Anesthesia Associates, PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1467413625
-
- Family Medicine Physician
- Irving, TX
- NPI 1841586179
-
- Diagnostic Radiology Physician
- Leawood, KS
- NPI 1366121527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1467594010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6137 HALEY LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323876",
"telephone_number": "214-914-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S MAIN ST",
"address_2": "SUITE 260",
"city": "KELLER",
"state": "TX",
"postal_code": "762487029",
"telephone_number": "972-393-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "GRADY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "E1530",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "E1530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.