NPIMap

Individual provider Active NPI

Carl L Byrd III, DO

  • Orthopaedic Surgery Physician
  • Morristown, TN
National Provider Identifier
1740662998
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4282 Issued in TN
Practice address
420 W Morris Blvd Ste 400D
Morristown, TN 37813-2282
Phone
(423) 586-7509
NPI assigned
Jun 24, 2015
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4282 TN Primary

Addresses

Primary practice location

420 W Morris Blvd Ste 400D
Morristown, TN 37813-2282

Mailing address

420 W Morris Blvd Ste 400D
Morristown, TN 37813-2282
Phone (423) 586-7509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210427000733 TN Practitioner - Orthopedic Surgery 2668894346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

3106 Circle Dr
White Pine, TN 37890-3306
Phone (865) 674-7454

420 W Morris Blvd
Suite 400D
Morristown, TN 37813-2282
Phone (423) 588-7509

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4282TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince Sep 1, 2023 Accepting new patients
East Tennessee Center for Orthopaedic Excellence PLLC Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
A&W Emg Muscle & Nerve PLLC CurrentSince Mar 15, 2022 Accepting new patients
Healthstar Physicians PC CurrentSince Sep 1, 2023 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

2263 Sandstone Dr
Morristown, TN 37814
Phone (423) 353-1070

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

420 W Morris Blvd
Ste 400D
Morristown, TN 37813
Phone (423) 586-7509

Interoperability endpoints

  • Direct secure messaging: carl.byrd.1@3525.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26086/brand/1/csg/1/fhir/r4

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 6

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1740662998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132282",
            "telephone_number": "423-586-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132282",
            "telephone_number": "423-586-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "CARL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.