DR. TRAVIS ROD CARROLL M.D.
NPI 1114137551
Pediatrics - Neonatal-Perinatal Medicine in Dalton, GA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
1200 MEMORIAL DR, DALTON, GA 30720(706) 264-1897 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Travis Rod Carroll M.d. NPPES

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

DR. TRAVIS ROD CARROLL M.D. (NPI 1114137551) is an individual neonatal-perinatal medicine provider in Dalton, Georgia, licensed in Georgia (074111) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1114137551
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. TRAVIS ROD CARROLLCredential: M.D.
Location Address1200 MEMORIAL DRDalton, GA 30720-2529
Mailing AddressPo Box 2645Dalton, GA 30722-2645 · (706) 264-1897
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 12, 2016
NPI 1114137551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses Licensed in GA · 074111 Licensed in TX · N5608
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1200 MEMORIAL DR, Dalton, GA 30720

Other Identifiers 2

Medicaid213538601TX
Medicaid003161386AGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Travis Rod Carroll M.d. 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 ID8820232937
PECOS Enrollment IDI20251205004102
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 20

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

Specialist
1200 MEMORIAL DR
DALTON, GA 30720
Specialist
1200 MEMORIAL DR
DALTON, GA 30720
Specialist
1200 MEMORIAL DR
DALTON, GA 30720
Anesthesiology
1200 MEMORIAL DR
DALTON, GA 30720
Nurse Practitioner (Family)
1200 MEMORIAL DR, HAMILTON MEDICAL CENTER
DALTON, GA 30720
Pathology (Anatomic Pathology & Clinical Pathology)
1200 MEMORIAL DR
DALTON, GA 30720
Nurse Practitioner (Family)
1200 MEMORIAL DR
DALTON, GA 30720
Emergency Medicine
1200 MEMORIAL DR
DALTON, GA 30720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114137551, enumerated as an "individual" on May 23, 2007.

The provider is located at 1200 MEMORIAL DR DALTON, GA 30720 and the phone number is (706) 264-1897.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.