Individual provider Active NPI

Carmen Carr, FNP-C

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1679934624
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901441 Issued in MS
Practice address
102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone
(601) 981-1610
Fax
(601) 366-2887
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901441 MS Primary

Addresses

Primary practice location

102 Riverview Dr Ste a
Flowood, MS 39232-8908

Mailing address

102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone (601) 981-1610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnc_10_continuity_of_care_documents2001507@direct.acumenmd.com Health Information Exchange (HIE) Central Nephrology Clinic PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160504000118 MS Practitioner - Nurse Practitioner 7113226721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Nephrology Clinic PLLCGroup PAC ID 7517120595, 16 clinicians

Practice addresses (Care Compare)

102 Riverview Dr
Suite a
Flowood, MS 39232-8908
Phone (601) 981-1610

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
901441MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nephrology Clinic PLLC CurrentSince Aug 30, 2021 Accepting new patients
Tennessee GYN PastSince Aug 30, 2021 Accepting new patients

Locations

102 Riverview Dr
#A
Flowood, MS 39232
Phone (601) 981-1610

Interoperability endpoints

  • Direct secure messaging: ccarr34053@direct.acumenmd.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 and National Provider Directory roles.

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": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1679934624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RIVERVIEW DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328908",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RIVERVIEW DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328908",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CARMEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnc_10_continuity_of_care_documents2001507@direct.acumenmd.com",
            "affiliation": "Y",
            "endpointDescription": "Acumen EPIC Connect",
            "affiliationName": "Central Nephrology Clinic PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Riverview Dr Ste A",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392328908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.