JOSEPH CARTER
NPI 1285101626
Nurse Practitioner - Family in La Vergne, TN

Active since October 24, 2018PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
5000 MURFREESBORO RD, LA VERGNE, TN 37086(615) 875-3280 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2020, Nov 17, 2020, Oct 24, 2018 (3 updates tracked since 2018).

About Joseph Carter NPPES

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

JOSEPH CARTER (NPI 1285101626) is an individual family provider in La Vergne, Tennessee, licensed in Tennessee (31299) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285101626
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSEPH CARTER
Location Address5000 MURFREESBORO RDLa Vergne, TN 37086-2705
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · Fax (615) 322-5048
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 24, 2018
Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1285101626 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 TN · 31299
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP09760 (LA), AP137412 (TX)
5000 MURFREESBORO RD, La Vergne, TN 37086

Secondary Practice Locations 2

Location 16825 Spencer HwyPasadena, TX 77505-1770 · Phone (281) 741-0070
Location 215481 Airline HwyBaton Rouge, LA 70817-7314 · Phone (225) 408-5902

Other Identifiers 1

MedicaidQ076014TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Carter 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 ID1456764463
PECOS Enrollment IDI20220926000667
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joseph Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
3500 GALLATIN PIKE
Nashville, TN 37216
  • Reassigned Medicare billing, Tennessee enrollment
  • 78 clinicians in this Medicare group
Urgent Care
900 N AUSTIN AVE, STE 105
Georgetown, TX 78626
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37086 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost63.47

Other Providers at the Same Location NPPES 4

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

Pharmacist
5000 MURFREESBORO RD
LA VERGNE, TN 37086
Pharmacy
5000 MURFREESBORO RD
LA VERGNE, TN 37086
Pharmacist
5000 MURFREESBORO RD
LA VERGNE, TN 37086
Pharmacist
5000 MURFREESBORO RD
LA VERGNE, TN 37086

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 Joseph Carter's NPI number?

The NPI number for Joseph Carter is 1285101626. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Joseph Carter located?

Joseph Carter practices at 5000 Murfreesboro Rd, La Vergne, TN 37086. The listed phone number is (615) 875-3280.

What is Joseph Carter's specialty?

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

Is Joseph Carter enrolled in Medicare?

Yes. Joseph 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.

Which organizations bill Medicare for Joseph Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Carter reassigns Medicare benefits to 2 organizations: Retail Health Clinics, LLC (Nashville, TN) and Ucp Physicians Of Central Texas, PLLC (Georgetown, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Carter accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Joseph 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.

When was this NPI record last updated?

The NPPES record for Joseph Carter was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.