Lee Van Carroll Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD.37222 Issued in AL

Practice address

1825 Park PL
Montgomery, AL 36106-1149

Phone

(334) 834-3671

NPI assigned

May 28, 2015

Last updated

Jun 21, 2021By 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

Other identifiers 1

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of Alabama School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of Dothan PCGroup PAC ID 2163465147, 21 clinicians

Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Northeast Radiology PCGroup PAC ID 7315838448, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Flowers Hospital Hospital, Dothan, AL, CCN 010055
• Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
• Medical Center Barbour Hospital, Eufaula, AL, CCN 011307
• Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as group

Quality

95

Improvement activities

40

Cost

72.5

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: lcarroll569634@direct.vumc.org

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.

• Radiology Associates of Dothan PC

  • Diagnostic Radiology Physician
  • Dothan, AL
  • NPI 1083697718
  Medicare reassignment Care Compare group NPD
• Elite Imaging, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319

  AL

  Medicare reassignment Care Compare group NPD
• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Mount Kisco, NY
  • NPI 1255320727

  AL

  Medicare reassignment Care Compare group NPD
• Radiology Group, P.a.

  • Diagnostic Radiology Physician
  • Montgomery, AL
  • NPI 1508965542
  Medicare reassignment NPD
• One Hundred Oaks Imaging, LLC

  dba Vanderbilt Imaging Services One Hundred Oaks

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1245485549
  Medicare reassignment NPD
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853
  NPD
• Northeast Radiology PC

  • Diagnostic Radiology Physician
  • Danbury, CT
  • NPI 1023498805
  NPD
• Preferred Imaging of Amarillo, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Amarillo, TX
  • NPI 1235544669
  NPD
• Preferred Imaging of Austin LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Austin, TX
  • NPI 1437542818

  Diagnostic Radiology

  NPD
• Preferred Imaging of Corinth, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corinth, TX
  • NPI 1831328392
  NPD
• Preferred Imaging of Frisco, LLC

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1881028397

  Diagnostic Radiology

  NPD
• Preferred Imaging of Garland, LLC

  • Radiology Clinic/Center
  • Richardson, TX
  • NPI 1235214164

  Diagnostic Radiology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houston County Healthcare Authority

  dba Southeast Alabama Medical Center

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861
  Care Compare affiliation
• QHG of Enterprise Inc

  dba Medical Center Enterprise

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba MCB Family Clinic

  • Rural Health Clinic/Center
  • Louisville, AL
  • NPI 1134632045

  Hospital

  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba Hurtsboro Family Clinic

  • Family Medicine Physician
  • Hurtsboro, AL
  • NPI 1154972883

  Hospital

  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba Medical Center Barbour

  • Critical Access Hospital
  • Eufaula, AL
  • NPI 1730692641
  Care Compare affiliation
• Triad of Alabama LLC

  dba Flowers Hospital

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1801830500
  Care Compare affiliation
• Northwest Florida Healthcare, Inc

  • Critical Access Hospital
  • Chipley, FL
  • NPI 1336163708
  Care Compare affiliation

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1972982569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 PARK PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061149",
            "telephone_number": "334-834-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 PARK PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061149",
            "telephone_number": "334-834-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 Thompson Ln Ste 23300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372044686",
            "country_code": "US",
            "telephone_number": "615-936-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Harding Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052145",
            "country_code": "US",
            "telephone_number": "615-463-3034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Acklen Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123713",
            "country_code": "US",
            "telephone_number": "615-777-9729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2009 Mallory Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672872",
            "country_code": "US",
            "telephone_number": "615-771-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 22nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031840",
            "country_code": "US",
            "telephone_number": "615-327-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 The Vanderbilt Clinic Department Of Radiology",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372323326",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LEE",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "61214",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.37222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "37222",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarroll569634@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Imaging Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information service provider",
            "address_1": "4525 Harding Pike Ste 102",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372052145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarroll569634@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Vanderbilt Imaging Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information service provider",
            "address_1": "1909 Acklen Ave",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372123713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarroll569634@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "Williamson Imaging, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information service provider",
            "address_1": "2009 Mallory Ln Ste 150",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370672872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarroll569634@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic Department Of Radiology",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372323326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarroll569634@direct.vumc.org",
            "affiliation": "Y",
            "affiliationName": "One Hundred Oaks Imaging,LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information service provider",
            "address_1": "719 Thompson Ln",
            "address_2": "Suite 23300",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372043609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Carpenter, CRNA
• Denise Carr-Deramus, LPC, NCC
• Gloria Carr, MD
• Tera S Carr, PA
• Saeun Carrie
• Markia L Carson, PHARM D
• Allison Christine Carter, FNP-C
• Annie Doris Carter, LPC
• Charisse Donnell Carter, DO
• Cleve Carter III, PT, DPT, MTC, C/NDT

• Diagnostic Radiology Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.