Individual provider Active NPI

Carole Kay Early, M.D.

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1790787893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0036611 Issued in FL
Practice address
740 Lake Ave
Clermont, FL 34711-2243
Phone
(352) 243-6900
Fax
(352) 243-6902
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
Yes

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
Family Medicine Physician 207Q00000X ME0036611 FL Primary

Addresses

Primary practice location

740 Lake Ave
Clermont, FL 34711-2243

Mailing address

740 Lake Ave
Clermont, FL 34711-2243
Phone (352) 243-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100827000315 FL Practitioner - General PracticePractitioner - Family Practice 2668596826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Nebraska College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

740 Lake Ave
Clermont, FL 34711-2243
Phone (352) 243-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0036611FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Early Ambulatory Medicine LLC Family Medicine CurrentSince Jun 29, 2010 Accepting new patients
Emmanuel Christian Health Center PA PastSince Apr 1, 1998 Accepting new patients
Center for Sleep and Lung Disorders Inc PastSince May 29, 2007 Accepting new patients

Locations

740 Lake Ave
Clermont, FL 34711
Phone (352) 243-6900

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.

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790787893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 LAKE AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112243",
            "telephone_number": "352-243-6900",
            "fax_number": "352-243-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 LAKE AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112243",
            "telephone_number": "352-243-6900",
            "fax_number": "352-243-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY",
        "first_name": "CAROLE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0036611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.