MR. DOUGLAS JOHN CARROLL PA-C NPI 1649428277

NPI Information

  • NPI: 1649428277
  • Provider Name: MR. DOUGLAS JOHN CARROLL, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2410 SUSANNAH ST
    JOHNSON CITY, TN
    ZIP 37601
  • Phone: (423) 282-9011

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NPI Details

MR. Douglas John Carroll, PA-C is a medical physician assistant in Johnson City, TN with 18 years of experience. MR. Douglas John Carroll, PA-C NPI is 1649428277. 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:

2410 SUSANNAH ST
JOHNSON CITY, TN
ZIP 37601-748
Phone: (423) 282-9011

The NPI 1649428277 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg (HCPCS:J7322)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 9/8/2008 and was last updated on 9/30/2025.

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
1363AM0700XPhysician AssistantMedical3434TENNESSEEYes
2363A00000XPhysician Assistant0010-01521NORTH CAROLINANo
3363A00000XPhysician Assistant3434TENNESSEENo
4363AS0400XPhysician AssistantSurgical3434TENNESSEENo

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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