Individual provider Active NPI

Carolina Alexandria Carmichael, PA

  • Physician Assistant
  • Schertz, TX
National Provider Identifier
1780984393
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06889 Issued in TX
Practice address
16977 Interstate 35 N Ste 210
Schertz, TX 78154-1466
Phone
(210) 656-5600
NPI assigned
Oct 28, 2010
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06889 TX Primary
Medical Physician Assistant 363AM0700X TEMP TX

Addresses

Primary practice location

16977 Interstate 35 N Ste 210
Schertz, TX 78154-1466

Mailing address

8711 Village Dr Ste 114
San Antonio, TX 78217-5419
Phone (210) 297-2244

Other practice location 1

7115 Fairlawn Dr
San Antonio, TX 78223-4022
Phone (210) 337-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000140 TX Practitioner - Physician Assistant 2365693991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

5979 Babcock Rd
San Antonio, TX 78240-2137
Phone (210) 690-5700

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Mar 16, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 16, 2022 Accepting new patients
Wellmed Medical Group, PA PastSince Jun 5, 2022 Accepting new patients
BHS Specialty Network Inc PastSince Jun 5, 2022 Accepting new patients

Locations

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

16977 Interstate 35 N
Ste 210
Schertz, TX 78154
Phone (210) 656-5600

Interoperability endpoints

  • Direct secure messaging: carolina.carmichael.1@1438.direct.athenahealth.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.

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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1780984393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 VILLAGE DR STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175419",
            "telephone_number": "210-297-2244",
            "fax_number": "210-337-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16977 INTERSTATE 35 N STE 210",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541466",
            "telephone_number": "210-656-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7115 Fairlawn Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782234022",
            "country_code": "US",
            "telephone_number": "210-337-2600",
            "fax_number": "210-337-2644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "CAROLINA",
        "middle_name": "ALEXANDRIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06889",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "TEMP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.