MARK CARROLL MD
NPI 1073510954
Emergency Medicine in Mullins, SC
About Mark Carroll Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK CARROLL MD (NPI 1073510954) is an individual emergency medicine provider in Mullins, South Carolina, licensed in South Carolina (23336) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark Carroll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mark Carroll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Florence, SC 29505
- Reassigned Medicare billing, South Carolina enrollment
- 509 clinicians in this Medicare group
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
- 160 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29574 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MULLINS, SC 29574
MULLINS, SC 29574
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 Mark Carroll's NPI number?
The NPI number for Mark Carroll is 1073510954. It was assigned to this individual provider in the NPPES registry on July 7, 2005.
Where is Mark Carroll located?
Mark Carroll practices at 2829 E Highway 76, Mullins, SC 29574. The listed phone number is (843) 497-5929.
What is Mark Carroll's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mark Carroll enrolled in Medicare?
Yes. Mark Carroll is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mark Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Carroll reassigns Medicare benefits to 3 organizations: Carolina Family Care, Inc (Florence, SC), App Of South Carolina Ed PLLC (Hartsville, SC) and Musc Community Physicians (Bamberg, SC). 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 Mark Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Carroll was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Mark Carroll, MD · NPI 1073510954
Emergency Medicine physician in Mullins, South Carolina. Individual provider, active in the CMS NPPES registry since July 7, 2005.
## Identity
- **NPI:** 1073510954 (Entity type: Individual)
- **Enumerated:** July 7, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 23336 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2829 E HIGHWAY 76, Mullins, SC 29574-6035
- **Phone:** (843) 497-5929 · **Fax:** (843) 497-9940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Carolina Family Care, Inc (NPI 1093076457, Florence, SC); App Of South Carolina Ed PLLC (NPI 1457878084, Hartsville, SC); Musc Community Physicians (NPI 1841878006, Bamberg, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2008
- **Other identifiers:** Medicaid N39925 (SC); Medicare UPIN E76148 (NC); Medicare UPIN E76148 (SC); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1073510954) · Data from the CMS NPPES public registry.