Individual provider Active NPI

David Michael Carstens, M.D.

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1679924252
Registry record updated Jun 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008412 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(305) 924-3580
NPI assigned
Jun 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008412 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Augusta, GA 30912-0004
Phone (305) 924-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20190916001237 GA Practitioner - Family Practice 7719216886 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008412GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Medical Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Nov 1, 2021 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Nov 1, 2021 Accepting new patients
McKinney Medical Center Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

501 N Pierce St
Alma, GA 31510
Phone (912) 632-0872

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086

218 Quarterman St
Waycross, GA 31501
Phone (912) 287-0301

300 Uvalda St
Waycross, GA 31501
Phone (912) 287-0360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marshs EdgeSt Simons Island, GA, CCN 115718 Skilled nursing facility Adp of the SNF Feb 25, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466812800000",
    "number": "1679924252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "305-924-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "305-924-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSTENS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-25",
        "last_updated": "2016-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "008412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.