William Jessup Carroll, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

91276 Issued in GA

Practice address

3535 Highway 81
Loganville, GA 30052-4336

Phone

(770) 520-8303

Fax

(478) 500-8205

NPI assigned

May 3, 2013

Last updated

Oct 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

University of Virginia School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.carroll.p1@direct.cfretina.nextgenshare.com
• Direct secure messaging: william.carrollmd.p1@direct.athensretinacenter.nextgenshare.com

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.

• Peach State Retina, LLC

  • Retina Specialist (Ophthalmology) Physician
  • Loganville, GA
  • NPI 1568253110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1891130829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524336",
            "telephone_number": "770-520-8303",
            "fax_number": "478-500-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524336",
            "telephone_number": "770-520-8303",
            "fax_number": "478-500-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Eastman",
            "state": "GA",
            "postal_code": "310236736",
            "country_code": "US",
            "telephone_number": "478-500-8022",
            "fax_number": "478-500-8205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Greene St",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310613410",
            "country_code": "US",
            "telephone_number": "478-223-9001",
            "fax_number": "478-500-8205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "WILLIAM",
        "middle_name": "JESSUP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "91276",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "GA",
            "license": "91276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carithers, D.D.S.
• Carmichaels Home Medical Equipment Inc (AeroCare)
• Elbretta Renise Carpenter
• Carr Medical Group PC
• John S Carr, MD
• Christopher Carruth, MS, LAT, ATC
• Kimberli Carter
• Kimberly Carter, MD
• Nina Carter
• Angela Cason, D.P.T.

• Retina Specialist (Ophthalmology) Physician in Loganville, GA
• Providers in Loganville, GA by specialty
• Retina Specialist (Ophthalmology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.