Active NPI
Wesley A Carr, MD
- Neurology Physician
- Anderson, SC
National Provider Identifier
1669426797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 13123
- Practice address
- 100 Healthy Way
Ste 1240
Anderson, SC 29621-7917 - Phone
- (864) 964-9155
- Fax
- (864) 964-9111
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 13123 | SC | Primary |
Addresses
Primary practice location
100 Healthy Way
Ste 1240
Anderson, SC 29621-7917
Mailing address
PO Box 839
Anderson, SC 29622-0839
Phone (864) 964-9155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131235 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13123 | SC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1669426797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 839",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296220839",
"telephone_number": "864-964-9155",
"fax_number": "864-964-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HEALTHY WAY",
"address_2": "STE 1240",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296217917",
"telephone_number": "864-964-9155",
"fax_number": "864-964-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "WESLEY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "13123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131235",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.