Individual provider Active NPI

John Collin Carr, PA-C

  • Physician Assistant
  • Vestavia Hills, AL
National Provider Identifier
1669127114
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1969 Issued in AL
Practice address
1021 Montgomery Hwy Ste 201
Vestavia Hills, AL 35216-2805
Phone
(205) 783-5900
NPI assigned
Feb 14, 2022
Last updated
May 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AL
Physician Assistant 363A00000X 1969 AL Primary

Addresses

Primary practice location

1021 Montgomery Hwy Ste 201
Vestavia Hills, AL 35216-2805

Mailing address

2192 Yellow Hammer HL
Vestavia Hills, AL 35216-3417

Other names 1

  • Collin Carr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505001100 AL Practitioner - Physician Assistant 4981091253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

1021 Montgomery Hwy
Vestavia Hills, AL 35216-2805
Phone (205) 421-4803

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1969ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Orthopedic Specialists LLC PastSince May 22, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9954/brand/1/csg/81/fhir/r4
  • Direct secure messaging: john.carr.1@9954.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1669127114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 YELLOW HAMMER HL",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MONTGOMERY HWY STE 201",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162805",
            "telephone_number": "205-783-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JOHN",
        "middle_name": "COLLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLIN",
            "last_name": "CARR",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.