Quinton W Carroll, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14954 Issued in TN

Practice address

508 Princeton Rd
Suite 104
Johnson City, TN 37601-2060

Phone

(423) 384-0614

Fax

(423) 928-5814

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

88.22 of 100Reported as group

Quality

60.13

Promoting interoperability

100

Improvement activities

40

Cost

83.92

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• QC Family Practice

  • Primary Care Clinic/Center
  • Johnson City, TN
  • NPI 1215469358
  NPD Authorized official
• Doctor's Care Inc

  • Primary Care Clinic/Center
  • Johnson City, TN
  • NPI 1720083918
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1619187283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4446",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37602",
            "telephone_number": "423-384-0614",
            "fax_number": "423-928-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PRINCETON RD",
            "address_2": "SUITE 104",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012060",
            "telephone_number": "423-384-0614",
            "fax_number": "423-928-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "QUINTON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "153426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14954",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "14954",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519749",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carr Rehab Inc
• Tonya M Carr, DO
• Annika Carrier, OTR/L
• Odalix Carrillo-Britt, RBT
• Douglas John Carroll, PA-C
• Rachelle Renee Carroll, NP
• Timothy Scott Carruthers, D.C.
• Daniel Joseph Carson
• Jenna Carson, FNP-BC
• Teresa Keefauver Carson, R.D.H.

• Family Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.