Richard B Carter Jr., MD
Individual provider Active NPI Internal Medicine Physician · Jefferson City, TN
NPI 1508065269 · NPPES record last updated Sep 27, 2012
Key facts
- NPI
- 1508065269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 42180 (TN)
- Practice address
- 120 Hospital Dr
Suite 130
Jefferson City, TN 37760-5279 - Phone
- (865) 475-4742
- Fax
- (865) 262-0100
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Baylor College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summit Medical Group, PLLC
Champion Physical Therapy LLC Halls
Volunteer Healthcare Services, Inc.
Practice addresses (Care Compare)
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627
3106 Circle Dr
White Pine, TN 37890-3306
Phone (865) 674-7454
3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495
Hospital & facility affiliations
- University of TN Medical Center Home Health Serv
- Amedisys Home Health Care
- Smoky Mountain Home Health and Hospice, Inc
- Amedisys Home Health Care
- Tennova Healthcare-Jefferson Memorial Hospital
- Morristown Hamblen Hospital Association
- University Health System, Inc
- Physicians Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071001000861 | TN | Practitioner - Internal Medicine |
4284729559 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42180 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee HM, PLLC | Current |
Accepting new patients | |
| Summit Medical Group, PLLC | Internal Medicine | Current |
Accepting new patients |
| Summit Medical Group,PLLC | Internal Medicine | Current |
Accepting new patients |
| Summit Medical Group,PLLC | Internal Medicine | Past | Accepting new patients |
| Summit Medical Group, PLLC | Internal Medicine | Past | Accepting new patients |
| Summit Medical Group PLLC | Past |
Accepting new patients |
Locations
380 W Broadway Blvd
Jefferson City, TN 37760
Phone (865) 450-9361
380 W Broadway Blvd
Ste 130
Jefferson City, TN 37760
Phone (865) 475-4742
120 Hospital Dr
Ste 130
Jefferson Cty, TN 37760
Phone (865) 475-2061
110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
Interoperability endpoints
- richard.carter.1@20785.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42180 | TN | Yes |
Addresses
Primary practice location
120 Hospital Dr
Suite 130
Jefferson City, TN 37760-5279
Mailing address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37066301 | Medicaid | TN | |
| 37066303 | Other | TN | MEDICAID LEGACY GROUP |
| 37066301 | Other | TN | MEDICARE LEGACY GROUP |
| 4132310 | Other | TN | BCBS PIN |
Other providers in Jefferson City, TN
- Rachel Cameron
- Brwyan Campbell
- Alicia Caraballo Angulo
- Jessica Carr
- Abby Rebecca Carrick
- Rebecca George Cate
- Cedars Healthcare LLC
- Sarah E. Chapman
- Cherokee Anesthesia Group
- Cherokee Health Systems
All providers in Jefferson City, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.