CHRISTOPHER SHANE CARROLL (NPI# 1205389335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205389335 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER SHANE CARROLL |
| Credential | NP-C |
| Practice Address |
10706 Marlboro Ave. Barnwell SC 29812-2516 |
| Mailing Address |
86 Wren St Barnwell SC 29812-1529 |
| Practice Telephone | 8032597337 |
| Mailing Telephone | 8032595762 |
| Mailing Fax Number | 8032593250 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20366 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558628412 | Christopher Patrick Carroll | Neurological Surgery | 1515 Sw Archer Road, Department of Neurosurgery, Gainesville, FL 32610 | 2012-04-17 |
| 1598884215 | Christopher Carroll | Physical Therapist | 9119 Shadow Glen Way, Fort Myers, FL 33913-6602 | 2007-03-28 |
| 1952470858 | Christopher B Carroll | Psychologist | 7 Bluff Rd, Glen Cove, NY 11542-1770 | 2006-11-06 |
| 1871570556 | Christopher E Carroll | Dentist | 150 East Fourth St, Winona, MN 55987-3512 | 2005-12-23 |
| 1053971838 | Christopher Allen Carroll | Physical Therapist | 1409 Highway 62 65 N Ste 4, Harrison, AR 72601-1970 | 2019-06-14 |
| 1255897542 | Christopher Carroll | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-02-12 |
| 1174004089 | Christopher Carroll | Pharmacist | 100 E College Dr, Colby, KS 67701-3702 | 2018-08-28 |
| 1811378094 | Christopher Michael Carroll | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2015-06-14 |
| 1043317647 | Christopher Scott Carroll | Dentist | 4535 Normal Blvd, Ste 292, Lincoln, NE 68506 | 2006-09-19 |
| 1003918673 | Christopher Patrick Carroll | Family Medicine | 9400 Turkey Lake Rd, Orlando, FL 32819-8001 | 2006-09-02 |
| Street Address |
10706 MARLBORO AVE. |
| City | BARNWELL |
| State | SC |
| Zip Code | 29812-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
| 1417335340 | Colleen Goodwin | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
| 1205246550 | Lenzie Beasley Brant | Counselor | 916 Reynolds Road, Barnwell, SC 29812 | 2014-05-07 |
| 1366864902 | Janelle Pruett Beasley | Psychologist | 770 Hagood Ave, Barnwell, SC 29812 | 2014-01-16 |
| 1033419247 | Adrian Miller | Speech-Language Pathologist | 445 Calhoun St, Barnwell, SC 29812 | 2010-10-22 |
| 1346386802 | Joel Curtis Greene Jr. | Chiropractor | 11022 Ellenton Street, Barnwell, SC 29812 | 2007-01-30 |
| 1164598165 | Martin Layne Shealy | Chiropractor | 76 Irving Street, Barnwell, SC 29812 | 2006-11-28 |
| 1447331822 | State of South Carolina | Public Health or Welfare | 11015 Ellenton Street, Hwy 278, Barnwell, SC 29812 | 2006-10-18 |
| 1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
| 1891804928 | Dca of Barnwell LLC | Clinic/Center | 10708 Marlboro Avenue, Barnwell, SC 29812 | 2006-08-30 |
| Find all providers in zip 29812 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609301530 | Ashley Boulware Romero | Nurse Practitioner | 86 Wren St, Barnwell, SC 29812 | 2017-04-28 |
| 1093185829 | Stacy Lynn Whitworth | Nurse Practitioner | 914 Reynolds Rd, Barnwell, SC 29812-6358 | 2015-10-06 |
| 1093143836 | Marsha Wren Carroll | Nurse Practitioner | 86 Wren St, Barnwell, SC 29812-1529 | 2013-10-14 |
| 1336300748 | Saranne S. O'neal | Nurse Practitioner | 10706 Marlboro Ave, Barnwell, SC 29812-6376 | 2008-06-18 |
| 1376618181 | Sharon G. Wise | Nurse Practitioner | 154 Wren St, Barnwell, SC 29812-1527 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.