Andrew Charles Carlson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

034554 Issued in GA

Practice address

2701 Meredyth Dr
Albany, GA 31707-2267

Phone

(229) 883-7010

NPI assigned

May 12, 2006

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 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: andrew.carlson1@gadirect.net
• Direct secure messaging: andrew.carlson.1@8042.direct.athenahealth.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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment NPD
• The Veranda, PC

  • Obstetrics & Gynecology Physician
  • Albany, GA
  • NPI 1841350063
  Medicare reassignment NPD
• Americus Pediatrics PC

  • Pediatrics Physician
  • Americus, GA
  • NPI 1407989767
  NPD Authorized official
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1922059252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MEREDYTH DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072267",
            "telephone_number": "229-883-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MEREDYTH DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072267",
            "telephone_number": "229-883-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W Church St",
            "address_purpose": "LOCATION",
            "city": "Americus",
            "state": "GA",
            "postal_code": "317093508",
            "country_code": "US",
            "telephone_number": "229-928-2299",
            "fax_number": "229-924-5233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "034554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "31709A002",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00466925A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "024953",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000466925B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carehere LLC
• Carehere LLC
• Caring Hearts Home Health Services
• Christen Maryann Carlon, D.M.D.
• Daniel Joseph Carlon I, D.M.D.
• Carol S Rohde DDS Ms and Timothy R Rohde DDS PC
• Jennifer Carpenter, CCC-SLP
• Genie Lane Carr
• Julie Christine Stein Carr, LPC
• Lindsay Tompkins Carr, PA-C

• Pediatrics Physician in Albany, GA
• Providers in Albany, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.