Individual provider Active NPI

Havely Carolyn Dickerson Carsky, DPT

  • Physical Medicine & Rehabilitation Physician
  • Asheville, NC
National Provider Identifier
1790268274
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P17772 Issued in NC
Practice address
119 Hendersonville Rd
Asheville, NC 28803-2868
Phone
(828) 771-5500
Fax
(828) 257-4750
NPI assigned
Sep 11, 2018
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P17772 NC Primary
Physical Therapist 225100000X P17772 NC

Addresses

Primary practice location

119 Hendersonville Rd
Asheville, NC 28803-2868

Mailing address

PO Box 100136
Columbia, SC 29202-3136
Phone (828) 257-4725

Other practice location 1

218 Elkwood Ave Unit 103
Asheville, NC 28804-2247
Phone (828) 684-3611

Other names 1

  • Dr. Havely Carolyn Dickerson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025001434 NC Practitioner - Physical Therapist in Private Practice 6709139454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Area Health Education Center, Inc. CurrentSince Jan 19, 2021 Accepting new patients
Mountain Area Health Education Center, Inc. CurrentSince Jan 19, 2021 Accepting new patients
Mountain Area Health Education Center, Inc. Current Accepting new patients

Locations

125 Hendersonville Rd
Asheville, NC 28803
Phone (828) 579-2100

19 N Ann St
Asheville, NC 28801
Phone (828) 257-4730

218 Elkwood Ave
Ste 102
Asheville, NC 28804
Phone (828) 257-4747

119 Hendersonville Rd
Biltmore Forest, NC 28803
Phone (828) 771-5500

87 Medical Park Dr
Ste B
Brevard, NC 28712
Phone (828) 547-3004

25 Westridge Market Pl
Candler, NC 28715
Phone (443) 865-4662

1542 Cane Creek Rd
Fletcher, NC 28732
Phone (828) 628-8250

56 Medical Park Dr
Franklin, NC 28734
Phone (828) 349-8280

Organizations & group practices 3

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1790268274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100136",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023136",
            "telephone_number": "828-257-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-771-5500",
            "fax_number": "828-257-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Elkwood Ave Unit 103",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288042247",
            "country_code": "US",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSKY",
        "first_name": "HAVELY",
        "middle_name": "CAROLYN DICKERSON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P17772",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAVELY",
            "last_name": "DICKERSON",
            "middle_name": "CAROLYN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.