=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386041861
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. GREGORY CARR MD LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/26/2014
-----------------------------------------------------
Last Update Date | 10/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5021 N 20TH ST
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85016-4166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-719-6554
-----------------------------------------------------
Fax | 888-372-5310
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5021 N 20TH ST
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85016-4166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-719-6554
-----------------------------------------------------
Fax | 888-372-5310
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. GREGORY CARR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 480-719-6554
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | MD-16383
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 46918
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------