Individual provider Active NPI

Carlos M Garcia, M.D.

  • Cardiovascular Disease Physician
  • Montgomery, AL
National Provider Identifier
1760441869
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14853 Issued in AL
Practice address
185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone
(334) 387-9940
Fax
(343) 870-9553
NPI assigned
Mar 20, 2006
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14853 AL Primary

Addresses

Primary practice location

185 Mitylene Park LN
Montgomery, AL 36117-7302

Mailing address

3081 Green Forest CT
Millbrook, AL 36054-3927
Phone (334) 387-3994

Other identifiers 6

IdentifierTypeStateIssuer
000038554MedicaidAL
010057620OtherALRAILROAD MEDICARE
51038554GAROtherALBLUE CROSS
000020495MedicaidAL
P00005008OtherALRAILROAD MEDICARE
51020495GAROtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050221000131 AL Practitioner - Cardiovascular Disease (Cardiology) 1355393190 Reassigns benefits to 1 organization
Practice locations: Montgomery, AL

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 387-0948

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14853ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Cardiology Associates, PC Cardiovascular Disease CurrentSince Sep 13, 2020 Accepting new patients
Bridgeway Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients

Locations

185 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 387-0948

5007 Summerville Rd
Phenix City, AL 36867
Phone (334) 323-3937

Interoperability endpoints

  • Direct secure messaging: carlos.garcia@direct.baptistfirst.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1760441869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 GREEN FOREST CT",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360543927",
            "telephone_number": "334-387-3994",
            "fax_number": "334-387-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-9940",
            "fax_number": "343-870-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "14853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000038554",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010057620",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51038554GAR",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020495",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00005008",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51020495GAR",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.