Constance Casebolt Carver, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14652 Issued in SC

Practice address

870 S Pleasantburg Dr Ste 103
Greenville, SC 29607-2455

Phone

(864) 558-0200

Fax

(864) 520-1245

NPI assigned

Jun 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New Horizon Family Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1629872734
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1649408097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 S PLEASANTBURG DR STE 103",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072455",
            "telephone_number": "864-558-0200",
            "fax_number": "864-520-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S PLEASANTBURG DR STE 103",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072455",
            "telephone_number": "864-558-0200",
            "fax_number": "864-520-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "CONSTANCE",
        "middle_name": "CASEBOLT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "14652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14652",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel C Caruso
• Frank Caruso, CO
• Karla Leigh Caruso, PHARM D
• Joseph Emmanuel Carvajal
• Marta M. Carvalhal, LISW
• Daniel Carver, PTA
• Keith Charles Carver, D.M.D., M.D., M.S.
• Rebecca Carver, OTR/L
• Sandra L Cary, LISW-CP
• Diana Marie Casali, ATC, LAT

• Family Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.