NPIMap

Individual provider Active NPI

Mark A Carbo, PA-C

  • Physician Assistant
  • Alexandria, LA
National Provider Identifier
1508889312
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
A10575 Issued in LA
Practice address
3444 Masonic Drive
Alexandria, LA 71301
Phone
(318) 473-9556
Fax
(318) 441-8310
NPI assigned
Jul 25, 2006
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X A10575 LA Primary

Addresses

Primary practice location

3444 Masonic Drive
Alexandria, LA 71301

Mailing address

3444 Masonic Drive
Alexandria, LA 71301
Phone (318) 473-9556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000194 LA Practitioner - Physician Assistant 0749268712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid State Orthopaedic and Sports Medicine Center LLCGroup PAC ID 6204892540, 27 clinicians

Practice addresses (Care Compare)

3444 Masonic Dr
Alexandria, LA 71301-3615
Phone 31844183291329

429 Rocky Bayou Dr
Suite a
Pineville, LA 71360-8133
Phone 31847395561329

908 S 10TH St
Leesville, LA 71446-4614
Phone (318) 473-9556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A10575LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Healthcare System, LLC CurrentSince May 12, 2014 Accepting new patients
Mid State Orthopaedic & Sports Medicine Center, LLC CurrentSince May 24, 2019 Accepting new patients
Rapides Healthcare System LLC CurrentSince May 12, 2014 Accepting new patients
Mid State Orthopaedic & Sports Medicine Center LLC CurrentSince May 24, 2019 Accepting new patients
Orthopaedic and Sports Medicine Specialist Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900

224 Pecan Park Ave
Ste C
Alexandria, LA 71303
Phone (318) 427-7851

3351 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6800

3444 Masonic Dr
Alexandria, LA 71301
Phone (318) 441-8329

429 Rocky Bayou Dr
Ste A
Pineville, LA 71360
Phone (318) 473-9556

Interoperability endpoints

  • Direct secure messaging: mcarbo@midstateortho.emadirect.md

Organizations & group practices 6

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1508889312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71301",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBO",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.