MRS. TOMIA F CARTER PCNP
NPI 1275587206
Nurse Practitioner - Family in Laurel, MS

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
516 N MAGNOLIA ST, LAUREL, MS 39440(601) 342-5901 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2022, Dec 21, 2021, Oct 19, 2017 and 1 more (4 updates tracked since 2017).

About Mrs. Tomia F Carter Pcnp NPPES

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

MRS. TOMIA F CARTER PCNP (NPI 1275587206) is an individual family provider in Laurel, Mississippi, licensed in Mississippi (732001) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275587206
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TOMIA F CARTERCredential: PCNP
Location Address516 N MAGNOLIA STLaurel, MS 39440-3559
Mailing Address516 N Magnolia StLaurel, MS 39440-3559 · (601) 342-5901
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 22, 2006
Last NPPES UpdateMarch 25, 20244 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
NPI 1275587206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 732001
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License R732001 (MS)
516 N MAGNOLIA ST, Laurel, MS 39440

Other Names 1

Former Name (1)Mrs. Tomia F Boot Pcno

Other Identifiers 1

Medicaid00115862MS

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

Mrs. Tomia F Carter Pcnp 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 ID9638495252
PECOS Enrollment IDI20170309002144
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services66 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
122 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250058
Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 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

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

General Practice
516 N MAGNOLIA ST
LAUREL, MS 39440

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 Tomia Carter's NPI number?

The NPI number for Tomia Carter is 1275587206. It was assigned to this individual provider in the NPPES registry on May 22, 2006. The provider is also known as Mrs. Tomia F Boot Pcno.

Where is Tomia Carter located?

Tomia Carter practices at 516 N Magnolia St, Laurel, MS 39440. The listed phone number is (601) 342-5901.

What is Tomia Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tomia Carter enrolled in Medicare?

Yes. Tomia Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tomia Carter accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Tomia Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tomia Carter affiliated with any hospitals?

According to CMS data, Tomia Carter is affiliated with South Central Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Tomia Carter was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.