NPIMap

Individual provider Active NPI

David Stephen Carson Sr., MD

  • Internal Medicine Physician
  • Dalton, GA
National Provider Identifier
1679575484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48336 Issued in GA
Practice address
1209 W Walnut Ave
Ste 6
Dalton, GA 30720-3961
Phone
(706) 226-5300
Fax
(706) 226-6277
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48336 GA Primary

Addresses

Primary practice location

1209 W Walnut Ave
Ste 6
Dalton, GA 30720-3961

Mailing address

1209 W Walnut Ave
Suite 6
Dalton, GA 30720-3961
Phone (706) 226-5300

Other identifiers 3

IdentifierTypeStateIssuer
00860098BMedicaidGA
110213705OtherGAMEDICARE RAILROAD PALMETT
52702469002OtherGABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000534 GA Practitioner - Internal Medicine 3577692136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1209 W Walnut Ave
Suite 6
Dalton, GA 30720-3961
Phone (706) 226-5300

Hospital & facility affiliations

  • Hamilton Home Health Home health agency, Dalton, GA, CCN 117062
  • North Georgia Home Health Agency, an Amedysis Comp Home health agency, Ringgold, GA, CCN 117028
  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48336GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Dalton Inc Internal Medicine CurrentSince Jan 2, 2000 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Cornerstone Medical Group Internal Medicine Past Accepting new patients

Locations

1209 W Walnut Ave
Ste 6
Dalton, GA 30720
Phone (706) 226-5300

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.401
  • Direct secure messaging: davidcarson@tnmhpf.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679575484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W WALNUT AVE",
            "address_2": "SUITE 6",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203961",
            "telephone_number": "706-226-5300",
            "fax_number": "706-226-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W WALNUT AVE",
            "address_2": "STE 6",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203961",
            "telephone_number": "706-226-5300",
            "fax_number": "706-226-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "DAVID",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "48336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00860098B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PALMETT",
            "identifier": "110213705",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52702469002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.