Jerry Scott Carroll, M.D.

Primary specialty

Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X

License

ME109665 Issued in FL

Practice address

734 N 3Rd St
Suite 115
Leesburg, FL 34748-5285

Phone

(352) 365-2583

Fax

(352) 728-6749

NPI assigned

Jan 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Diagnostic Radiology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Medical Imaging and Breast Center at the Villages LLCGroup PAC ID 0042116865, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.22 of 100Reported as group

Quality

95.56

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.5 of 100Reported as group

Quality

90

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jcarroll562519@direct.shands.ufl.edu

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.

• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1770541633
  Medicare reassignment Care Compare group NPD
• Hem Onc Associates of the Treasure Coast, PA

  • Medical Oncology Physician
  • Port St Lucie, FL
  • NPI 1205882867
  Medicare reassignment NPD
• Radiology Associates of Central Florida L L C

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1184689127
  Medicare reassignment NPD
• Hem Onc Associates of the Treasure Coast, PA

  • Hematology & Oncology Physician
  • Stuart, FL
  • NPI 1477807477
  NPD
• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • The Villages, FL
  • NPI 1366015232
  NPD (past)
• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • The Villages, FL
  • NPI 1659940807
  NPD (past)
• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • The Villages, FL
  • NPI 1912570045
  NPD (past)
• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • The Villages, FL
  • NPI 1942879192
  NPD (past)

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1497931406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N 3RD ST",
            "address_2": "SUITE 115",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485285",
            "telephone_number": "352-365-2583",
            "fax_number": "352-728-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N 3RD ST",
            "address_2": "SUITE 115",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485285",
            "telephone_number": "352-365-2583",
            "fax_number": "352-728-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JERRY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME109665",
            "primary": false
        },
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "ME109665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE RACF",
            "identifier": "P00986156",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE LMIV",
            "identifier": "P00986170",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03876000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Carrico, PERSON CARE ATTENDAN
• Chrisann Muller Carrier-Reid, LCSW
• Alexis Marie Carringer
• Nateya Carrington, MD
• Susan Carrington
• Shannon N Carter
• Jamie Leah Caruthers, PHARM.D.
• Michael A Cary, PT
• Montserrat Casado-Kehoe, LMFT
• Carolyn Casler

• Magnetic Resonance Imaging (MRI) Internal Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Magnetic Resonance Imaging (MRI) Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.