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CARSON BODIFORD DO
NPI 1093517252
Student in an Organized Health Care Education/Training Program in Jackson, TN

Active since March 26, 2025PECOS Enrolled
700 W FOREST AVE FL 5, JACKSON, TN 38301(731) 423-1932(731) 660-8739 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carson Bodiford Do NPPES

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

CARSON BODIFORD DO (NPI 1093517252) is an individual student in an organized health care education/training program in Jackson, Tennessee and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093517252
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARSON BODIFORDCredential: DO
Location Address700 W FOREST AVE FL 5Jackson, TN 38301-3937
Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582 · (731) 512-1264 · Fax (731) 660-8739
Phone(731) 423-1932
Fax(731) 660-8739
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1093517252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

700 W FOREST AVE FL 5, Jackson, TN 38301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carson Bodiford Do 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.

Other Providers at the Same Location NPPES 19

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

HANNAH SHEA DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
JACOB GHEE MD
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
KAYLAN CAIN DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
CHARDAE FOSTER MD
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
LANDON WAITE MD
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
WILLIAM CANNELLA JR. DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
SHAYAN MOSTAFAVI DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
MEGHAN WAITE DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932

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 Carson Bodiford's NPI number?

The NPI number for Carson Bodiford is 1093517252. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Carson Bodiford located?

Carson Bodiford practices at 700 W Forest Ave Fl 5, Jackson, TN 38301. The listed phone number is (731) 423-1932.

What is Carson Bodiford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carson Bodiford enrolled in Medicare?

Yes. Carson Bodiford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carson Bodiford was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.