MEDICARE: CONAN M CARTER NP

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	363L00000X	Nurse Practitioner	11936	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	4160176	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1497713804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONAN M CARTER NP

Provider Business Mailing Address
First Line	:	883 UNION ST
Second Line	:
City	:	SHELBYVILLE
State	:	TN
Zip	:	37160-2607
Country	:	US
Telephone Number	:	931-685-1145
Fax Number	:	931-685-8014

Provider Business Practice Location Address
First Line	:	12 MAGNOLIA DR
Second Line	:
City	:	LYNCHBURG
State	:	TN
Zip	:	37352-8373
Country	:	US
Telephone Number	:	931-759-5044
Fax Number	:	931-759-5042

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	04/03/2012

Similar Medicare Providers

1659364669 — LYNCHBURG FAMILY MEDICINE AND MINOR EMERGENCY CENTER PC
Practice Location Address:

12 MAGNOLIA DR
LYNCHBURG, TN
37352-8373

Practice Phone: 931-759-5044
Practice Fax: 931-759-5042

1801050844 — SHELBYVILLE HOSPITAL CORPORATION
Practice Location Address:

12 MAGNOLIA DR
LYNCHBURG, TN
37352-8373

Practice Phone: 931-759-5044
Practice Fax:

1306811880 — ROBERT R YASUI
Practice Location Address:

40 LYNCHBURG HWY
LYNCHBURG, TN
37352-7449

Practice Phone: 931-759-4197
Practice Fax:

1871568014 — MR. ROBERT R YASUI PA-C
Practice Location Address:

40 LYNCHBURG HWY
LYNCHBURG, TN
37352-7449

Practice Phone: 931-759-4197
Practice Fax:

1982620068 — LYNCHBURG MEDICAL INVESTORS, LLC
Practice Location Address:

40 NURSING HOME RD
LYNCHBURG, TN
37352-7098

Practice Phone: 931-759-6000
Practice Fax: 931-759-6003

1912928664 — STATE OF TENNESSEE
Practice Location Address:

251 MAJORS BLVD
LYNCHBURG, TN
37352-8352

Practice Phone: 931-759-4251
Practice Fax: 931-759-6380

Directions to “ CONAN M CARTER NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.