MEDICARE: DR. JAMES EDWARD CARTER SR SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	13522	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3061766	OTHER	TN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1336143239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES EDWARD CARTER SR SR. M.D.

Provider Business Mailing Address
First Line	:	6005 PARK AVE STE 601
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5216
Country	:	US
Telephone Number	:	901-779-3527
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 PARK AVE STE 601
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5216
Country	:	US
Telephone Number	:	901-779-3527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	02/24/2026

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