Individual provider Active NPI

Christopher Drew Carswell, M.D.

  • Pediatrics Physician
  • Dublin, GA
National Provider Identifier
1790779122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
030283 Issued in GA
Practice address
2406 Bellevue Rd
BLDG. 10
Dublin, GA 31021-2842
Phone
(478) 272-2623
Fax
(478) 272-9984
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 030283 GA Primary

Addresses

Primary practice location

2406 Bellevue Rd
BLDG. 10
Dublin, GA 31021-2842

Mailing address

2406 Bellevue Rd
BLDG. 10
Dublin, GA 31021-2842
Phone (478) 272-2623

Other identifiers 1

IdentifierTypeStateIssuer
030283OtherGAMED BRD LICENCE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20181108001152 GA Practitioner - Pediatric Medicine 0648524777 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030283GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Georgia PC CurrentSince Oct 5, 2019 Accepting new patients
Children'S Clinic, LLP Pediatrics Past Accepting new patients
Fairview Park, Limited Partnership Past Accepting new patients

Locations

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790779122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BELLEVUE RD",
            "address_2": "BLDG. 10",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212842",
            "telephone_number": "478-272-2623",
            "fax_number": "478-272-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BELLEVUE RD",
            "address_2": "BLDG. 10",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212842",
            "telephone_number": "478-272-2623",
            "fax_number": "478-272-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "DREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "030283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED BRD LICENCE",
            "identifier": "030283",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.