Individual provider Active NPI

John Thomas Carr, M.D.

  • Addiction Psychiatry Physician
  • Silver Spring, MD
National Provider Identifier
1992956601
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
D45444 Issued in MD
Practice address
1003 Spring St
Kolmac Clinic
Silver Spring, MD 20910-4016
Phone
(301) 589-0255
Fax
(301) 589-0291
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X D45444 MD Primary
Addiction Psychiatry Physician 2084P0802X MD 036634 DC

Addresses

Primary practice location

1003 Spring St
Kolmac Clinic
Silver Spring, MD 20910-4016

Mailing address

1003 Spring St
Kolmac Clinic
Silver Spring, MD 20910-4016
Phone (301) 589-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

820 W Diamond Ave
Suite 500
Gaithersburg, MD 20878-1400

820 W Diamond Ave
Suite 500
Gaithersburg, MD 20878-1469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 036634DCMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Memorial Hospital and Medical Center of Cumberland, Inc. Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1992956601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 SPRING ST",
            "address_2": "KOLMAC CLINIC",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104016",
            "telephone_number": "301-589-0255",
            "fax_number": "301-589-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SPRING ST",
            "address_2": "KOLMAC CLINIC",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104016",
            "telephone_number": "301-589-0255",
            "fax_number": "301-589-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MD",
            "license": "D45444",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "DC",
            "license": "MD 036634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.