JOSEPH CARTER
NPI 1285101626
Nurse Practitioner - Family in La Vergne, TN
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
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
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.
Medicare Billing Reassignments
2Medicare 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.
Nashville, TN 37216
- Reassigned Medicare billing, Tennessee enrollment
- 78 clinicians in this Medicare group
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.
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.
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.
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.
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.