Healthcare Provider Details

I. General information

NPI: 1134562861
Provider Name (Legal Business Name): ADAM JUDE CARTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6411 PERKINS RD STE 100
BATON ROUGE LA
70808-5193
US

IV. Provider business mailing address

6411 PERKINS RD STE 100
BATON ROUGE LA
70808-5193
US

V. Phone/Fax

Practice location:
  • Phone: 225-303-9500
  • Fax: 225-303-9501
Mailing address:
  • Phone: 225-303-9500
  • Fax: 225-303-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number312445
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number312445
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: