Individual provider Active NPI

James Michael Carroll, D.C.

  • Chiropractor
  • Albany, GA
National Provider Identifier
1578665246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
GA1099 Issued in GA
Practice address
1108 Whispering Pines Rd
Albany, GA 31707-3542
Phone
(229) 432-5617
Fax
(229) 432-5617
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X GA1099 GA Primary

Addresses

Primary practice location

1108 Whispering Pines Rd
Albany, GA 31707-3542

Mailing address

2021 N Slappey Blvd
PMB 143
Albany, GA 31701-1001
Phone (229) 432-5617

Other identifiers 1

IdentifierTypeStateIssuer
GA1099OtherGASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA1099GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Chiropractic Clinic, P. C. CurrentSince Apr 9, 2013 Accepting new patients

Locations

1108 Whispering Pines Rd
Albany, GA 31707
Phone (229) 432-5617

2021 N Slappey Blvd
Albany, GA 31701
Phone (800) 206-4904

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578665246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N SLAPPEY BLVD",
            "address_2": "PMB 143",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011001",
            "telephone_number": "229-432-5617",
            "fax_number": "229-432-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 WHISPERING PINES RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073542",
            "telephone_number": "229-432-5617",
            "fax_number": "229-432-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA1099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "GA1099",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.