Dr Travis Rod Carroll, MD | |
1200 Memorial Dr, Dalton, GA 30720-2529 | |
(706) 264-1897 | |
Not Available |
Full Name | Dr Travis Rod Carroll |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1200 Memorial Dr, Dalton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114137551 | NPI | - | NPPES |
003161386A | Medicaid | GA | |
213538601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | N5608 (Texas) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 074111 (Georgia) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Mailing Address | Practice Location Address |
---|---|
Dr Travis Rod Carroll, MD Po Box 2645, Dalton, GA 30722-2645 Ph: (706) 264-1897 | Dr Travis Rod Carroll, MD 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 264-1897 |
Susan Hartley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229 | |
Mr. Ricardo Raul Riesco, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1933 Shields Road, Dalton, GA 30720 Phone: 706-278-6628 Fax: 706-278-6650 | |
Mr. Ayodeji C Makinde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 Chattanooga Ave, Ste 1, Dalton, GA 30721 Phone: 706-876-2130 Fax: 706-876-2168 | |
Ayman M. Rifai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229 | |
Dr. Rose C Augustine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Broadrick Dr, Dalton, GA 30720 Phone: 706-279-1994 Fax: 706-279-9229 | |
Dr. Merle E Milburn Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 Chattanooga Ave Ste 1, Dalton, GA 30720 Phone: 706-876-2130 Fax: 706-876-2168 |