Provider Demographics
NPI:1215988696
Name:CARTER, JAMES ELLIOT (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ELLIOT
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0480
Mailing Address - Country:US
Mailing Address - Phone:251-434-3626
Mailing Address - Fax:251-445-2464
Practice Address - Street 1:2451 UNIVERSITY HOSPITAL DR FL 1
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2300
Practice Address - Country:US
Practice Address - Phone:251-471-7790
Practice Address - Fax:251-471-7715
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20655207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009927750Medicaid
AL11-10366OtherUNITED HEALTHCARE
AL51009446OtherBCBS FILLINGIM
MS00121911Medicaid
LA1428591Medicaid
AL51098930OtherBCBS CENTER ST
FL260969000Medicaid
MS00121911Medicaid
AL000098930Medicare ID - Type UnspecifiedCENTER ST
LA1428591Medicaid
AL51009446OtherBCBS FILLINGIM