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PHILIP LEE CARROLL M.D.
NPI 1194892000
Family Medicine in Jonesboro, GA

Active since November 29, 2006PECOS Enrolled
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236(770) 603-3577 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Lee Carroll M.d. NPPES

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

PHILIP LEE CARROLL M.D. (NPI 1194892000) is an individual family medicine provider in Jonesboro, Georgia, licensed in Georgia (065662) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194892000
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP LEE CARROLLCredential: M.D.
Location Address2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTERJonesboro, GA 30236
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 364-7070
Phone(770) 603-3577
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateApril 14, 2011
✔ NPI 1194892000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 065662✔ Licensed in CA · G67893
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2400 MT. ZION PARKWAY, Jonesboro, GA 30236
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Other Identifiers 1

Medicare UPING13380

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip Lee Carroll M.d. 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 30236 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

MR. JEROME A MAISLIS PA-C
Physician Assistant (Medical)
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA 30236
Clayton County (770) 603-3649
DR. SHANTISE MCCALL STORY O.D.
Optometrist
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (205) 781-5995
MRS. MERCY B MANGA NP-C
Nurse Practitioner (Women's Health)
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (770) 603-3649
LYNN KEVIN FLOWERS MD
Emergency Medicine
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (770) 603-3668
SHEFALI NAVIN SHAH MD
Internal Medicine (Hematology & Oncology)
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (706) 721-6744
MRS. PAULETTE MAE JARMON-THOMAS MA, LPC
Counselor (Professional)
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL OFFICE
JANESBORO, GA 30236
Clayton County (770) 603-3632
DR. JOSEPH EARL THOMPSON MD
Psychiatry & Neurology (Psychiatry)
2400 MT. ZION PARKWAY, KAISER PEMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (404) 931-2417
UCHENNA E AGUWA DO
Emergency Medicine
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (770) 603-3668

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 Philip Carroll's NPI number?

The NPI number for Philip Carroll is 1194892000. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Philip Carroll located?

Philip Carroll practices at 2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236. The listed phone number is (770) 603-3577.

What is Philip Carroll's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Carroll enrolled in Medicare?

Yes. Philip Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Carroll was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.