KENNETH CARROLL M.D.
NPI 1205990330
Obstetrics & Gynecology in Royston, GA

Active since December 21, 2006
461 COOK ST, SUITE B, ROYSTON, GA 30662(706) 245-1877(706) 245-1433 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Carroll M.d. NPPES

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

KENNETH CARROLL M.D. (NPI 1205990330) is an individual obstetrics & gynecology provider in Royston, Georgia, licensed in Georgia (018369) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1205990330
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKENNETH CARROLLCredential: M.D.
Location Address461 COOK ST, SUITE BRoyston, GA 30662-4003
Mailing Address461 Cook St, Suite BRoyston, GA 30662-4003 · (706) 245-1877 · Fax (706) 245-1433
Fax(706) 245-1433
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205990330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 018369
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
461 COOK ST, Royston, GA 30662

Other Identifiers 4

Other975810GA · Bcbs Pin Number
Medicare ID-Type Unspecified16BDCWHGA · Opted Out
Other4505967GA · Aetna Prov Number
Medicare UPIND39556

Other Providers at the Same Location NPPES 5

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

Speech-Language Pathologist
461 COOK ST
ROYSTON, GA 30662
Speech-Language Pathologist
461 COOK ST
ROYSTON, GA 30662
Legal Medicine
461 COOK ST
ROYSTON, GA 30662
Marriage & Family Therapist
461 COOK ST, SUITE G
ROYSTON, GA 30662
Obstetrics & Gynecology
461 COOK ST, SUITE B
ROYSTON, GA 30662

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 Kenneth Carroll's NPI number?

The NPI number for Kenneth Carroll is 1205990330. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Kenneth Carroll located?

Kenneth Carroll practices at 461 Cook St Suite B, Royston, GA 30662. The listed phone number is (706) 245-1877.

What is Kenneth Carroll's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Carroll was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.