THADDEUS COX CARTER M.D. NPI 1649278573

NPI Information

  • NPI: 1649278573
  • Provider Name: THADDEUS COX CARTER, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1340 BROAD AVE
    SUITE 210
    GULFPORT, MS
    ZIP 39501
  • Phone: (228) 863-4490

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NPI Details

Thaddeus Cox Carter, M.D. is a specialist in Gulfport, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Thaddeus Cox Carter, M.D. NPI is 1649278573. 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:

1340 BROAD AVE
SUITE 210
GULFPORT, MS
ZIP 39501-418
Phone: (228) 863-4490
Fax: (228) 863-7238

The enumeration date for this NPI number is 7/13/2005 and was last updated on 7/10/2014.

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
1174400000XSpecialist08995MISSISSIPPIYes

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
100019775MEDICAIDMISSISSIPPI
2340000302MEDICARE PINMISSISSIPPI
3P00405480MEDICARE PINMISSISSIPPI
4B30111MEDICARE UPINMISSISSIPPI
5512I340022MEDICARE PINMISSISSIPPI
6P00647496MEDICARE PINMISSISSIPPI

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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