Ann Degroff Carter PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANN DEGROFF CARTER PLLC

Practice address

100 Elmhurst Dr
Oak Ridge, TN 37830-7621

Phone

(865) 481-3367

NPI assigned

Jul 21, 2023

Last updated

Jul 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann Degroff Carter, MDNPI 1417946674

Title

Owner

Phone

(865) 250-0694

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Degroff Carter, MD

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1417946674
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1902586175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 N CEDAR BLUFF RD # 329",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233612",
            "telephone_number": "865-250-0694",
            "fax_number": "865-253-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELMHURST DR",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307621",
            "telephone_number": "865-481-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN DEGROFF CARTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "DEGROFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-250-0694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.