MARK BLANCHARD CARROLL MD
NPI 1073531679
Psychiatry & Neurology - Child & Adolescent Psychiatry in Winston Salem, NC

Active since July 18, 2006
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Blanchard Carroll Md NPPES

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

MARK BLANCHARD CARROLL MD (NPI 1073531679) is an individual child & adolescent psychiatry provider in Winston Salem, North Carolina, licensed in North Carolina (78859) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1073531679
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMARK BLANCHARD CARROLLCredential: MD
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressPo Box 344Winston Salem, NC 27102-0344 · (336) 716-2255
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJanuary 24, 2012
NPI 1073531679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in NC · 78859
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

MEDICAL CENTER BLVD, Winston Salem, NC 27157

Other Identifiers 2

Medicare UPING4234
Medicare ID-Type Unspecified2250830CNC

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.

Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

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 1073531679. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mark Carroll located?

Mark Carroll practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2255.

What is Mark Carroll's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Mark Carroll was last updated on January 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.