Organization Active NPI

Morris R. Carter, Jr., M.D., P.a.

  • Family Medicine Physician
  • Bunnell, FL
National Provider Identifier
1790092880
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27918 Issued in FL
Legal business name
MORRIS R. CARTER, JR., M.D., P.A.
Practice address
206 S. Lemon Street
Bunnell, FL 32110-0943
Phone
(386) 437-3341
Fax
(386) 437-1474
NPI assigned
Sep 10, 2010
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Morris R. Carter Jr., M.D.
Title
Owner
Phone
(386) 437-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27918 FL Primary

Addresses

Primary practice location

206 S. Lemon Street
Bunnell, FL 32110-0943

Mailing address

PO Box 943
206 S. Lemon Street
Bunnell, FL 32110-0943
Phone (386) 437-3341

Other identifiers 1

IdentifierTypeStateIssuer
036579300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1790092880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 943",
            "address_2": "206 S. LEMON STREET",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321100943",
            "telephone_number": "386-437-3341",
            "fax_number": "386-437-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S. LEMON STREET",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321100943",
            "telephone_number": "386-437-3341",
            "fax_number": "386-437-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS R. CARTER, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-437-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "27918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036579300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunnell, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.