AMY LOWERY CARROLL PNP-AC
NPI 1093157414
Nurse Practitioner - Pediatrics, Critical Care in Jackson, MS

Q: What is Amy Carroll's NPI number?

The NPI number for Amy Carroll is 1093157414. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Q: What is Amy Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Amy Carroll was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 26, 2013PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-2000 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy Lowery Carroll Pnp-ac NPPES

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

AMY LOWERY CARROLL PNP-AC (NPI 1093157414) is an individual pediatrics, critical care provider in Jackson, Mississippi, licensed in Mississippi (R864240) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093157414

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameAMY LOWERY CARROLLCredential: PNP-AC

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-2000

Phone(601) 984-2000

Sole ProprietorNo

Enumeration DateJuly 26, 2013

Last NPPES UpdateJune 20, 2014

✔ NPI 1093157414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in MS · R864240

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 3

Medicare PIN311199YJ5DMS

Medicaid2365746LA

Medicaid05130237MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Lowery Carroll Pnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)