NPIMap

Individual provider Active NPI

William Michael Carter, MD

  • Family Medicine Physician
  • Tompkinsville, KY
National Provider Identifier
1720013873
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22770 Issued in KY
Practice address
606 N Main Street
Tompkinsville, KY 42167
Phone
(270) 487-6161
Fax
(270) 487-8009
NPI assigned
Jul 11, 2006
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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 22770 KY Primary

Addresses

Primary practice location

606 N Main Street
Tompkinsville, KY 42167

Mailing address

PO Box 277
606 N Main Street
Tompkinsville, KY 42167
Phone (270) 487-6161

Other identifiers 1

IdentifierTypeStateIssuer
64227705MedicaidKY

Other names 1

  • W Michael Carter Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100915000860 KY Practitioner - Family Practice 6002995891 Reassigns benefits to 1 organization
Practice locations: Tompkinsville, KY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Medical Foundation, Inc.Group PAC ID 5092702472, 30 clinicians

Practice addresses (Care Compare)

477 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone (270) 487-9231

529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone 27048792311199

604 N Main St
Tompkinsville, KY 42167-1128
Phone (270) 407-5150

606 N Main St
Tompkinsville, KY 42167-1128
Phone (270) 487-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22770KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Medical Foundation, Inc. Family Medicine CurrentSince May 1, 2017 Accepting new patients
Monroe Medical Foundation Inc CurrentSince May 1, 2017 Accepting new patients
Monroe Medical Foundation, Inc. Past Accepting new patients
LP Tompkinsville, LLC Past Accepting new patients

Locations

477 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-0701

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

606 N Main St
Tompkinsville, KY 42167
Phone (270) 487-6161

309 Main St
Red Boiling Springs, TN 37150
Phone (270) 487-9272

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: wmcmd@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1720013873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "address_2": "606 N MAIN STREET",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "42167",
            "telephone_number": "270-487-6161",
            "fax_number": "270-487-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N MAIN STREET",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "42167",
            "telephone_number": "270-487-6161",
            "fax_number": "270-487-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "22770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64227705",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "CARTER",
            "middle_name": "MICHAEL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tompkinsville, KY

Sources for this page

Verify at the official NPI Registry.