Individual provider Active NPI

Frederick Barnett Carlton Jr., M.D.

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1730110057
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
09092 Issued in MS
Practice address
969 Lakeland Dr
Jackson, MS 39216-4606
Phone
(601) 200-2000
Fax
(601) 200-5929
NPI assigned
Jul 5, 2006
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 09092 MS Primary

Addresses

Primary practice location

969 Lakeland Dr
Jackson, MS 39216-4606

Mailing address

PO Box 23457
Jackson, MS 39225-3457
Phone (601) 200-4749

Other identifiers 3

IdentifierTypeStateIssuer
0014321MedicaidMS
512G700003OtherMSMS MEDICARE - GROUP
110063827OtherMSRAILROAD MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000524 MS Practitioner - Emergency MedicinePractitioner - Internal Medicine 5698863108 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tishomingo Health Services, Inc.Group PAC ID 2466354303, 25 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Magnolia Physician Services IncGroup PAC ID 5193912889, 10 clinicians
Relias Emergency Medicine Specialists of Tupelo LLCGroup PAC ID 6608179734, 39 clinicians

Practice addresses (Care Compare)

1777 Curtis Dr
Iuka Hospital
Iuka, MS 38852-7546
Phone (662) 423-6051

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 538-2591

601 Alcorn Dr
Magnolia ER Group
Corinth, MS 38834-9368
Phone (662) 293-1000

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Physician Services, Inc CurrentSince Apr 3, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 25, 2016 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Tishomingo Health Services, Inc. CurrentSince Nov 19, 2016 Accepting new patients
Magnolia Regional Health Center CurrentSince Mar 1, 2023 Accepting new patients
Tishomingo Health Services, Inc. CurrentSince Nov 19, 2016 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Oct 13, 2016 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Magnolia Ear Nose & Throat Current Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Oct 25, 2016 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Oct 13, 2016 Accepting new patients
Relias Hospitalist Medicine Specialists of Pontotoc LLC CurrentSince Nov 1, 2025 Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients
University Radiation Oncology Consultants, PLLC Past Accepting new patients

Locations

3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499

401 Alcorn Dr
Ste 2D
Corinth, MS 38834
Phone (662) 293-1565

601 Alcorn Dr
Magnolia ER Group
Corinth, MS 38834

601 Alcorn Dr
Magnolia ER Group
Corinth, MS 38834

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

703 Alcorn Dr
Ste 109
Corinth, MS 38834
Phone (662) 286-1499

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: frederickcarlton@magnolia.medalliesdirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1730110057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23457",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253457",
            "telephone_number": "601-200-4749",
            "fax_number": "601-200-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164606",
            "telephone_number": "601-200-2000",
            "fax_number": "601-200-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "FREDERICK",
        "middle_name": "BARNETT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "09092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014321",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS MEDICARE - GROUP",
            "identifier": "512G700003",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110063827",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.