Active NPI
Rodney G. Carter, M.D.
- General Practice Physician
- Pigeon Forge, TN
National Provider Identifier
1497862668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 30020
- Practice address
- 190 Community Center Dr.
Suite 103
Pigeon Forge, TN 37863-6251 - Phone
- (865) 446-4032
- Fax
- (865) 868-4746
- NPI assigned
- Aug 24, 2006
- Last updated
- Nov 16, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD30020 | TN | |
| General Practice Physician | 208D00000X | 30020 | TN | Primary |
Addresses
Primary practice location
190 Community Center Dr.
Suite 103
Pigeon Forge, TN 37863-6251
Mailing address
190 Community Center Dr.
Suite 103
Pigeon Forge, TN 37863-6251
Phone (865) 446-4032
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079526 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3378953 | Medicaid | TN |
Other names 1
- Mr. Rodney G Carter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leconte Family Practice, P.C. | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Sevierville, TN
- NPI 1831275825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1497862668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 COMMUNITY CENTER DR.",
"address_2": "SUITE 103",
"city": "PIGEON FORGE",
"state": "TN",
"postal_code": "378636251",
"telephone_number": "865-446-4032",
"fax_number": "865-868-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 COMMUNITY CENTER DR.",
"address_2": "SUITE 103",
"city": "PIGEON FORGE",
"state": "TN",
"postal_code": "378636251",
"telephone_number": "865-446-4032",
"fax_number": "865-868-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "RODNEY",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD30020",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "30020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3079526",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3378953",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RODNEY",
"last_name": "CARTER",
"middle_name": "G",
"prefix": "MR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pigeon Forge, TN
- Tiffany Atchley
- Neiland Baerwald, DPH
- Shonda Alia Bailey, PHARMD
- Sandra McMahan Byrd, CFNP
- Caring Hearts and Hands of Tennessee, LLC (Caring Hearts and Hands of Tennessee)
- Champion Physical Therapy LLC Halls (CORA Physical Therapy - Pigeon Forge)
- Champion Physical Therapy, LLC (CORA Physical Therapy - Pigeon Forge)
- Timothy Alan Cline II, ATC
- Brian Anthony Cooper, PHARMD
- Crescent Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.