MR. CHARLES WAYNE CARROLL NP
NPI 1043962541
Nurse Practitioner - Family in Rogersville, TN

Q: What is Charles Carroll's NPI number?

The NPI number for Charles Carroll is 1043962541. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Q: What is Charles Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Carroll was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2022PECOS EnrolledAccepts Medicare Assignment

405 SCENIC DR STE A, ROGERSVILLE, TN 37857(423) 921-3490 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 22, 2025, Jan 25, 2022 (2 updates tracked since 2022).

On this page

About Mr. Charles Wayne Carroll Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES WAYNE CARROLL NP (NPI 1043962541) is an individual family provider in Rogersville, Tennessee, licensed in Tennessee (30647) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Hawkins County Memorial Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1043962541

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CHARLES WAYNE CARROLLCredential: NP

Location Address405 SCENIC DR STE ARogersville, TN 37857-2441

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657

Phone(423) 921-3490

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 25, 2022

Last NPPES UpdateFebruary 22, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2025

✔ NPI 1043962541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 30647

405 SCENIC DR STE A, Rogersville, TN 37857

Open in Google Maps ↗

Secondary Practice Locations 7

Location 11116 Highway 11 WChurch Hill, TN 37642-3023 · Phone (423) 226-5109 · Fax (423) 226-5150

Location 22686 W State StBristol, TN 37620-1817 · Phone (423) 844-0026

Location 31497 W Elk Ave Ste 11Elizabethton, TN 37643-2896 · Phone (423) 542-8929

Location 4438 E Vann Rd Ste 301Greeneville, TN 37743-7202 · Phone (423) 636-9828

Location 5161 Heart Dr Ste AJohnson City, TN 37604-2607 · Phone (423) 282-0751

Location 64600 Fort Henry DrKingsport, TN 37663-2617 · Phone (423) 224-3950

Location 7111 W Stone Dr Ste 110Kingsport, TN 37660-6027 · Phone (423) 224-3701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles Wayne Carroll Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597158808

PECOS Enrollment IDI20220209002123

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Charles Carroll reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.

Same address

Internal Medicine

405 SCENIC DR, SUITE A
Rogersville, TN 37857

Reassigned Medicare billing, Tennessee enrollment
861 clinicians in this Medicare group

NPI 1689032575 (423) 921-3490

Blue Ridge Medical Management Corporation

1.3 mi

Obstetrics & Gynecology

900 W MAIN ST, HEALTH LINK OF ROGERSVILLE
Rogersville, TN 37857

Reassigned Medicare billing, Tennessee enrollment
496 clinicians in this Medicare group

NPI 1134139017 (423) 272-0542

Tri-Cities Regional Emergency Physicians, PC

36 mi

Emergency Medicine

400 N STATE OF FRANKLIN RD
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
284 clinicians in this Medicare group

NPI 1063950046 (423) 431-6111

Fast Pace Medical Clinic PLLC

222 mi

Family Medicine

3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174

Reassigned Medicare billing, Tennessee enrollment
985 clinicians in this Medicare group

NPI 1134452865 (931) 487-1006

Upperline Healthcare, PC

298 mi

Foot & Ankle Surgery

2116 CHAPEL HILL RD
Hoover, AL 35216

Reassigned Medicare billing, Tennessee enrollment
537 clinicians in this Medicare group

NPI 1538686498 (407) 219-5402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

144 services17 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

122 services65 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

96 services43 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

48 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

47 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

37 services30 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

36 services31 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

29 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

15 services15 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

15 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hawkins County Memorial Hospital

Acute Care Hospitals · Rogersville, TN

OwnershipVoluntary non-profit - Private

CMS Certification Number440032

Location851 Locust StreetRogersville, TN 37857 · Hawkins County

Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440050

Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37857 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW NATHAN BROWN MD

Family Medicine

405 SCENIC DR STE A
ROGERSVILLE, TN 37857

Hawkins County (423) 921-3490

REGHAN W MADDOX FNP

Nurse Practitioner (Family)

405 SCENIC DR STE A
ROGERSVILLE, TN 37857

Hawkins County (423) 921-3490

LINDA L. FUNK NP

Nurse Practitioner (Family)

405 SCENIC DR STE A
ROGERSVILLE, TN 37857

Hawkins County (423) 921-3490

SARAH SHEA CROOK PHYSICIAN ASSISTANT

Physician Assistant (Medical)

405 SCENIC DR STE A
ROGERSVILLE, TN 37857

Hawkins County (423) 921-3490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Carroll's NPI number?

The NPI number for Charles Carroll is 1043962541. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Charles Carroll located?

Charles Carroll practices at 405 Scenic Dr Ste A, Rogersville, TN 37857. The listed phone number is (423) 921-3490.

What is Charles Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Carroll enrolled in Medicare?

Yes. Charles Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Charles Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Carroll reassigns Medicare benefits to 5 organizations: Wellmont Medical Associates, Inc. (Rogersville, TN), Blue Ridge Medical Management Corporation (Rogersville, TN), Tri-Cities Regional Emergency Physicians, PC (Johnson City, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Upperline Healthcare, PC (Hoover, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Carroll accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Charles Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Carroll affiliated with any hospitals?

According to CMS data, Charles Carroll is affiliated with Hawkins County Memorial Hospital and Greeneville Community Hospital.

When was this NPI record last updated?

The NPPES record for Charles Carroll was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.