Individual provider Active NPI

Gregory Charles Carr, M.D.

  • Psychiatry Physician
  • Scottsdale, AZ
National Provider Identifier
1770760589
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
46918 Issued in AZ
Practice address
3260 N Hayden Rd
Ste 210
Scottsdale, AZ 85251-6649
Phone
(480) 719-6554
NPI assigned
Jan 23, 2008
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 46918 AZ Primary

Addresses

Primary practice location

3260 N Hayden Rd
Ste 210
Scottsdale, AZ 85251-6649

Mailing address

3260 N Hayden Rd
Ste 210
Scottsdale, AZ 85251-6649
Phone (480) 719-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130130000302 AZ Practitioner - Psychiatry 5698929594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Gregory Carr MD LLCGroup PAC ID 3072828607, 10 clinicians

Practice addresses (Care Compare)

17300 N Dysart Rd
Surprise, AZ 85378-4501
Phone (480) 719-6554

1800 E Van Buren St
Phoenix, AZ 85006-3742
Phone (480) 719-6554

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carr Clinic Internal Medicine LLC CurrentSince Aug 1, 2021 Accepting new patients
St Lukes Behavioral Hospital LP Past Accepting new patients
Destiny Springs Healthcare, LLC Past Accepting new patients
College Medical Center Phoenix LLC Past Accepting new patients

Locations

1346 E McDowell Rd
Phoenix, AZ 85006
Phone (574) 208-9114

3260 N Hayden Rd
Ste 210
Scottsdale, AZ 85251
Phone (480) 719-6554

Interoperability endpoints

  • Direct secure messaging: gregory.carr.1@8409.direct.athenahealth.com
  • Direct secure messaging: gregorycarr@destiny-springs-hc.direct.kno2fy.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1770760589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 N HAYDEN RD",
            "address_2": "STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516649",
            "telephone_number": "480-719-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 N HAYDEN RD",
            "address_2": "STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516649",
            "telephone_number": "480-719-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "46918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.