Active NPI
Calphor S Carty, MD
- Surgery Physician
- Huntingdon, TN
National Provider Identifier
1609806439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 038761
- Practice address
- 375 Tara LN
Huntingdon, TN 38344-2107 - Phone
- (731) 415-6683
- NPI assigned
- Jul 4, 2006
- Last updated
- Aug 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 038761 | TN | Primary |
Addresses
Primary practice location
375 Tara LN
Huntingdon, TN 38344-2107
Mailing address
375 Tara LN
Huntingdon, TN 38344-2107
Phone (731) 415-6683
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038761 | TN | MD | Surgery Physician |
Interoperability endpoints
- ccarty4611@direct.bmhcc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1609806439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 TARA LN",
"city": "HUNTINGDON",
"state": "TN",
"postal_code": "383442107",
"telephone_number": "731-415-6683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 TARA LN",
"city": "HUNTINGDON",
"state": "TN",
"postal_code": "383442107",
"telephone_number": "731-415-6683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTY",
"first_name": "CALPHOR",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "038761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntingdon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.