DR. PAUL MICHAEL CARTER MD
NPI 1710972872
Allergy & Immunology in Chattanooga, TN
NPI Status: Active since September 14, 2005
Contact Information
1350 MACKEY BRANCH DR STE 114
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 468-3267
Fax: (423) 468-3270
- Individual
- Male
- Years of Experience 35
- Allergy & Immunology
- Accepts Insurance
- Accepts Medicare Approved Payment
About PAUL CARTER
This page provides the complete NPI Profile along with additional information for Paul Carter, a provider established in Chattanooga, Tennessee with a medical specialization in Allergy & Immunology and more than 35 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1710972872 assigned on September 2005. The practitioner's primary taxonomy code is 207K00000X with license number 023784 (TN). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1710972872
- Provider Name
- DR. PAUL MICHAEL CARTER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1350 MACKEY BRANCH DR STE 114 CHATTANOOGA, TN 37421
- Location Phone
- (423) 468-3267
- Location Fax
- (423) 468-3270
- Mailing Address
- 9800 SHELBYVILLE RD STE 220 LOUISVILLE, KY 40223
- Medical School Name
- UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
- Graduation Year
- 1991
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-14-2005
- Last Update Date
- 05-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Allergy & Immunology
- Taxonomy Code
- 207K00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 023784
- License State
- TN
- Taxonomy Description
- An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207KA0200X | Allopathic & Osteopathic Physicians | Allergy & Immunology | 23784 (TN) |
| 2 | 207RA0201X | Allopathic & Osteopathic Physicians | Internal Medicine | 23784 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Paul Carter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2769389824
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20031217000041
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 9 | 7 | 2 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 18 | 7 | 4 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 8 + 7 + 4 + 8 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1710972872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922074178 | BETTY GWEN CARLTON FNP Individual | Nurse Practitioner (Family) | 1350 MACKEY BRANCH DR STE 114 CHATTANOOGA, TN 37421 (423) 468-3267 |
| 1689920787 | MRS. PAMELA NICOLE CAMP FNP-C Individual | Nurse Practitioner | 1350 MACKEY BRANCH DR STE 114 CHATTANOOGA, TN 37421 (800) 999-1249 |
| 1508361585 | ANNA EDWARDS TURNER FNP Individual | Nurse Practitioner (Family) | 1350 MACKEY BRANCH DR STE 114 CHATTANOOGA, TN 37421 (423) 883-2520 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710972872, enumerated in the NPI registry as an "individual" on September 14, 2005
The provider is located at 1350 Mackey Branch Dr Ste 114 Chattanooga, Tn 37421 and the phone number is (423) 468-3267
The provider's speciality is Allergy & Immunology with taxonomy code 207K00000X
The provider has more than 35 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 1991.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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