Individual provider Active NPI

Carl Taylor Geraldson

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Alabaster, AL
National Provider Identifier
1659767671
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
87813 Issued in SC
Practice address
1004 1St St N Ste 270
Alabaster, AL 35007-8798
Phone
(205) 620-7523
Fax
(205) 620-8667
NPI assigned
Apr 7, 2015
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 87813 SC Primary

Addresses

Primary practice location

1004 1St St N Ste 270
Alabaster, AL 35007-8798

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-9600

Other practice location 2

890 W Faris Rd Ste 550
Greenville, SC 29605-4286
Phone (864) 455-6800

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220912003208 SC Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Thoracic Surgery 7315268042 Reassigns benefits to 1 organization
I20250428000730 AL Practitioner - Thoracic Surgery 7315268042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Medical University of South Carolina College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1004 1St St N
Suite 270
Alabaster, AL 35007-8798
Phone (205) 620-7523

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)29
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87813SCMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Jan 23, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Oct 1, 2024 Accepting new patients
Baptist Health Centers LLC CurrentSince Jan 23, 2025 Accepting new patients
McLeod Physician Associates II Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
McLeod Physician Associates II CurrentSince Oct 1, 2024 Accepting new patients

Locations

1004 1st St N
Ste 270
Alabaster, AL 35007
Phone (205) 620-7523

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

101 William H Johnson St
Ste 370
Florence, SC 29506
Phone (437) 777-0208

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: cgeraldson599534@direct.ghs.myhfn.org
  • Direct secure messaging: cgeraldson93725@directmcleodehealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1659767671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N STE 270",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078798",
            "telephone_number": "205-620-7523",
            "fax_number": "205-620-8667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 W Faris Rd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054286",
            "country_code": "US",
            "telephone_number": "864-455-6800",
            "fax_number": "864-455-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERALDSON",
        "first_name": "CARL",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "87813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.