Conan M Carter, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11936 Issued in TN

Practice address

12 Magnolia Dr
Lynchburg, TN 37352-8373

Phone

(931) 759-5044

Fax

(931) 759-5042

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: conan.carter.fnp-c.1@3755.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3755/brand/2/csg/1/fhir/r4
• Direct secure messaging: conan.carter.1@3755.direct.athenahealth.com

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.

• Joseph Howard Rupard, M D

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1861451338

  TN

  Medicare reassignment
• Celebration Family Care PLLC

  • Rural Health Clinic/Center
  • Lewisburg, TN
  • NPI 1891053823
  NPD
• A. Kent Clark

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1164479762
  NPD (past)
• Joseph Howard Rupard MD

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1194915793
  NPD (past)
• Shelbyville Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Shelbyville, TN
  • NPI 1164601399
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1497713804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 UNION ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602607",
            "telephone_number": "931-685-1145",
            "fax_number": "931-685-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAGNOLIA DR",
            "city": "LYNCHBURG",
            "state": "TN",
            "postal_code": "373528373",
            "telephone_number": "931-759-5044",
            "fax_number": "931-759-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CONAN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "11936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36430621",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4160176",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ardent Healthcare
• Atkinson Family Dentistry, P.C.
• Dalton Barrier
• Sara Elizabeth Bates, RN
• Kenneth Brown
• Dee Ann Flippo, LPN
• Emma Gammill
• Robert W Gray, DPH
• Deborah Hart, PT
• Highlands Consulting LLC

• All providers in Lynchburg, TN
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.