MR. MARTIN WAYNE CARR FNP NPI 1073716825

NPI Information

  • NPI: 1073716825
  • Provider Name: MR. MARTIN WAYNE CARR, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 46 JOE REYER RD
    POPLARVILLE, MS
    ZIP 39470
  • Phone: (601) 215-6374

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NPI Details

MR. Martin Wayne Carr, FNP is a family nurse practitioner in Poplarville, MS with 19 years of experience. MR. Martin Wayne Carr, FNP NPI is 1073716825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

46 JOE REYER RD
POPLARVILLE, MS
ZIP 39470-400
Phone: (601) 215-6374

The NPI 1073716825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 4/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerR860912MISSISSIPPINo
2363LF0000XNurse PractitionerFamilyR860912MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11026522MEDICAIDLOUISIANA
204438724MEDICAIDMISSISSIPPI
32813712OTHERMISSISSIPPIUHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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