Active NPI
Joshua Mathew Carter, PA-C
- Physician Assistant
- Mooresville, NC
National Provider Identifier
1932633435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-07232
- Practice address
- 125 Overhill Dr Ste 105
Mooresville, NC 28117-8232 - Phone
- (980) 430-9205
- Fax
- (704) 799-8949
- NPI assigned
- Apr 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-07232 | NC | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
125 Overhill Dr Ste 105
Mooresville, NC 28117-8232
Mailing address
125 Overhill Dr Ste 105
Mooresville, NC 28117-8232
Phone (980) 430-9205
Other practice location 1
621 Jefferson Davis Highway, Gaertner Psychiatric
Suite 201
Fredricksburg, VA 22401
Phone (540) 372-2028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1932633435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 OVERHILL DR STE 105",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178232",
"telephone_number": "980-430-9205",
"fax_number": "704-799-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 OVERHILL DR STE 105",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178232",
"telephone_number": "980-430-9205",
"fax_number": "704-799-8949"
}
],
"practiceLocations": [
{
"address_1": "621 Jefferson Davis Highway, Gaertner Psychiatric",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Fredricksburg",
"state": "VA",
"postal_code": "22401",
"country_code": "US",
"telephone_number": "540-372-2028",
"fax_number": "540-373-0945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "JOSHUA",
"middle_name": "MATHEW",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-12",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-07232",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.