Jacqueline May Carter, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32951 Issued in AZ

Practice address

6828 E Brown Rd Ste 102
Mesa, AZ 85207-3761

Phone

(480) 981-8650

Fax

(480) 981-1563

NPI assigned

Sep 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jacqueline.carter@277236870545412.direct.elationemr.com
• Direct secure messaging: jcarter@hmg.gwaydirect.com

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1669468807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073761",
            "telephone_number": "480-981-8650",
            "fax_number": "480-981-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073761",
            "telephone_number": "480-981-8650",
            "fax_number": "480-981-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JACQUELINE",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "32951",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "868705",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrot Eye Surgery LLC
• Carrot Lasik LLC
• Bradley Carson, DC
• Tracy Kerr Carson, LAC
• Dominika Carter, DPT
• Jamie D Carter
• Kyle Payne Carter, DMD
• Leah M Carter, CNA
• Emily Perez Carver, DO
• Hunter Carvolth

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.