Individual provider Active NPI

Patrick Carr, M.D.

  • Dermatology Physician
  • Madison, AL
National Provider Identifier
1790216653
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.45116 Issued in AL
Practice address
104 J E Briscoe Way
Madison, AL 35758-4822
Phone
(256) 705-3000
Fax
(256) 705-3105
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X MD.45116 AL Primary
Dermatology Physician 207N00000X 0101271824 VA

Addresses

Primary practice location

104 J E Briscoe Way
Madison, AL 35758-4822

Mailing address

104 J E Briscoe Way
Madison, AL 35758-4822
Phone (256) 705-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210616000524 VA Practitioner - Dermatology 6204107451 Reassigns benefits to 1 organization
I20221127000017 AL Practitioner - Dermatology 6204107451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Mississippi School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Skin Cancer and DermatologyGroup PAC ID 0648427856, 9 clinicians

Practice addresses (Care Compare)

104 J E Briscoe Way
Madison, AL 35758-4822
Phone (256) 705-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.56 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision87
Removal of tissue1-10
Removal of skin lesions1741
Removal or shaving of skin growth42
Skin biopsy725

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.45116ALMDDermatology Physician
0101271824VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Dermatology, P.C. CurrentSince Aug 2, 2021 Accepting new patients
Southeastern Skin Cancer & Dermatology CurrentSince Jan 9, 2023 Accepting new patients

Locations

104 J E Briscoe Way
Madison, AL 35758
Phone (256) 705-3000

16 Ivy Ridge Ln
Ste 138
Fishersville, VA 22939
Phone (540) 569-2942

1600 N Coalter St
Ste 19
Staunton, VA 24401
Phone (540) 885-4500

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 and National Provider Directory roles.

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1790216653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 J E BRISCOE WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584822",
            "telephone_number": "256-705-3000",
            "fax_number": "256-705-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 J E BRISCOE WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584822",
            "telephone_number": "256-705-3000",
            "fax_number": "256-705-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD.45116",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101271824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.