Adam Benjamin Carroll

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34187 Issued in AL

Practice address

201 Doug Baker Blvd
Birmingham, AL 35242-2013

Phone

(256) 551-4433

Fax

(256) 551-4633

NPI assigned

May 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

University of Alabama School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as apm

Quality

75.95

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4/
• Direct secure messaging: adam.carroll.1@9954.direct.athenahealth.com

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

• Affinity Physician Services LLC

  • General Practice Physician
  • Birmingham, AL
  • NPI 1366485617

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Birmingham Internal Medicine Associates, LLC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598796542

  Single Specialty

  Medicare reassignment NPD
• Champion Sports Medicine Birmingham, LLC.

  • Physical Therapy Clinic/Center
  • Gardendale, AL
  • NPI 1346813516
  Care Compare group
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Hospital LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1770929176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 VILLAGE ST",
            "address_2": "STE 2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426482",
            "telephone_number": "256-551-4433",
            "fax_number": "256-551-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOUG BAKER BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422013",
            "telephone_number": "256-551-4433",
            "fax_number": "256-551-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ADAM",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "34187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.carroll.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 Doug Baker Blvd",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352422013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carraway Surgical Associates
• Robert Posey Carraway, MD
• Sarah D Carrell, RBT
• Divya Alapati Carrigan, M.D.
• Erin Carriker, MD
• Anthony Michael Carroll, PHARM.D.
• Caleb Carroll, MD
• Dylan Carroll, MS., BCBA
• Justin Taylor Carroll, CRNA
• Mallory Mathis Carroll, PNP, FNP, MSN, RN

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.