Active NPI
Patrick Sean Carroll, PAC
- Physician Assistant
- New Bern, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103279
- Practice address
- 738 Newman Rd
New Bern, NC 28562-5238 - Phone
- (252) 634-2676
- Fax
- (252) 633-2577
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103279 | NC | Primary |
Addresses
Primary practice location
738 Newman Rd
New Bern, NC 28562-5238
Mailing address
738 Newman Rd
New Bern, NC 28562-5238
Phone (252) 634-2676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051020000934 | NC | Practitioner - Physician Assistant | 3971494980 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1000 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278
1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 514-6685
1030 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278
1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273
2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093
900 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 639-5959
Hospital & facility affiliations
- Centerwell Home Health
- Carolina East Medical Center
- Onslow Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1342 | CO | MD | Clinical Social Worker |
| 103279 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Coastal Carolina Health Care PA | Past | Accepting new patients | |
| Coastal Orthopaedics and Spinal Surgery, PA | Past | Accepting new patients |
Locations
1224 E Main St
Havelock, NC 28532
Phone (252) 447-7474
1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678
900 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685
1000 Medical Park Ave
New Bern, NC 28562
Phone (252) 634-3278
1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685
Interoperability endpoints
- pcarroll27036@coastalcarolinahealthcenter.gardenplot.direct-ci.com
- patrick.carroll.1@12529.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Bayboro, NC
- NPI 1063962074
-
- Family Medicine Physician
- New Bern, NC
- NPI 1366498297
-
- Family Medicine Physician
- Morehead City, NC
- NPI 1821959610
-
- Internal Medicine Physician
- New Bern, NC
- NPI 1780623207
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1003174483
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pollocksville, NC
- NPI 1043243835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1700947181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 NEWMAN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625238",
"telephone_number": "252-634-2676",
"fax_number": "252-633-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 NEWMAN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625238",
"telephone_number": "252-634-2676",
"fax_number": "252-633-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "PATRICK",
"middle_name": "SEAN",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.