Active NPI
John Alexander Carter, MD
- Pediatrics Physician
- Rock Hill, SC
National Provider Identifier
1629668926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD91664
- Practice address
- 1656 Riverchase Blvd Ste 3400
Rock Hill, SC 29732-0273 - Phone
- (803) 328-6281
- NPI assigned
- Jan 20, 2021
- Last updated
- Jun 7, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 321088 | NC | |
| Pediatrics Physician | 208000000X | MD91664 | SC | Primary |
Addresses
Primary practice location
1656 Riverchase Blvd Ste 3400
Rock Hill, SC 29732-0273
Mailing address
1656 Riverchase Blvd Ste 3400
Rock Hill, SC 29732-0273
Phone (803) 328-6281
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321088 | NC | MD | Pediatrics Physician |
| MD91664 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network, Inc | Past | Accepting new patients |
Interoperability endpoints
- jcarter2900429@carolinashealthcaresystem.direct-ci.com
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.
-
dba Atrium Health Virtual Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1629668926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 RIVERCHASE BLVD STE 3400",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297320273",
"telephone_number": "803-328-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 RIVERCHASE BLVD STE 3400",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297320273",
"telephone_number": "803-328-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JOHN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-20",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "321088",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "MD91664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.