Individual provider Active NPI

Joshua Mathew Carter, PA-C

  • Physician Assistant
  • Mooresville, NC
National Provider Identifier
1932633435
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07232 Issued in NC
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

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
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.

Verify at the official NPI Registry.