John Joyce Carter IV, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006220 Issued in VA

Practice address

25 Myers Corner Dr
Staunton, VA 24401-6342

Phone

(540) 688-2646

Fax

(540) 688-2656

NPI assigned

Jun 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: comprehensivebehavioralhealth.johncarter@142606.advancedmd-direct.com

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.

• Comprehensive Health Systems,PLC

  • Psychiatry Physician
  • Staunton, VA
  • NPI 1649376450
  Medicare reassignment

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1821583329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229391138",
            "telephone_number": "540-688-2646",
            "fax_number": "540-688-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MYERS CORNER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016342",
            "telephone_number": "540-688-2646",
            "fax_number": "540-688-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JOHN",
        "middle_name": "JOYCE",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VA DEPT OF HEALTH PROFESSIONS STATE LICENSE",
            "identifier": "0110006220",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Camden
• Ashley Nicole Campbell, FNP-BC
• Erika Campbell, LPC
• Mirela Cangelosi, LCSW
• Care Advantage, Inc.
• Kristi Ann Carter, PHYSICAL THERAPIST
• Meghan E Carty, PA
• Robin J Carver, LCSW
• Kelli Cash, PA
• Emilie Cason

• Physician Assistant in Staunton, VA
• Providers in Staunton, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.