JOHN MICHAEL CARROLL M.D. NPI 1669442869

NPI Information

NPI: 1669442869
Provider Name: JOHN MICHAEL CARROLL, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
6108 GARNERS FERRY RD
COLUMBIA, SC
ZIP 29209
Phone: (803) 647-1265
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John Michael Carroll, M.D. is a pediatrics in Columbia, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. John Michael Carroll, M.D. NPI is 1669442869. 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:

6108 GARNERS FERRY RD
COLUMBIA, SC
ZIP 29209-401
Phone: (803) 647-1265
Fax: (803) 647-1266

The enumeration date for this NPI number is 1/23/2006 and was last updated on 12/14/2010.

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
1	208000000X	Pediatrics		18687	SOUTH CAROLINA	Yes

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
1	H10142	MEDICARE UPIN	SOUTH CAROLINA
2	186872	MEDICAID	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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