THOMAS JOHN CAROTA FNP
NPI 1316714090
Nurse Practitioner - Family in Rock Hill, SC

Active since December 04, 2023PECOS EnrolledAccepts Medicare Assignment
1656 RIVERCHASE BLVD, SUITE 2500, ROCK HILL, SC 29732(803) 327-3456 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Dec 13, 2023, Dec 5, 2023 (3 updates tracked since 2023).

About Thomas John Carota Fnp NPPES

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

THOMAS JOHN CAROTA FNP (NPI 1316714090) is an individual family provider in Rock Hill, South Carolina, licensed in North Carolina (5019241) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1316714090
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS JOHN CAROTACredential: FNP
Location Address1656 RIVERCHASE BLVD, SUITE 2500Rock Hill, SC 29732-2084
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 4, 2023
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
NPI 1316714090 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 NC · 5019241
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5019241 (NC)
1656 RIVERCHASE BLVD, Rock Hill, SC 29732

Secondary Practice Locations 4

Location 11550 Faulk St, Ste 3100Monroe, NC 28112-5086 · Phone (704) 667-3410
Location 210650 Park RdCharlotte, NC 28210-8538 · Phone (704) 667-3840
Location 31100 Healing Way, Ste 13Matthews, NC 28104-5159 · Phone (980) 993-1700
Location 415110 John J Delaney Dr, Ste 200Charlotte, NC 28277-3544 · Phone (704) 667-3840

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

Thomas John Carota Fnp 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 ID9830532795
PECOS Enrollment IDI20240207002472, I20240207002802
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

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.
134 services129 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Family Medicine
1656 RIVERCHASE BLVD, STE 1800
ROCK HILL, SC 29732
Pediatrics
1656 RIVERCHASE BLVD, STE 3400
ROCK HILL, SC 29732
Internal Medicine
1656 RIVERCHASE BLVD, STE 2400
ROCK HILL, SC 29732
Family Medicine
1656 RIVERCHASE BLVD, STE 2400
ROCK HILL, SC 29732
Pediatrics
1656 RIVERCHASE BLVD, SUITE 3400
ROCK HILL, SC 29732
Pediatrics
1656 RIVERCHASE BLVD, STE 3400
ROCK HILL, SC 29732
Family Medicine
1656 RIVERCHASE BLVD, STE 2400
ROCK HILL, SC 29732
Pediatrics
1656 RIVERCHASE BLVD, STE 3400
ROCK HILL, SC 29732

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 Thomas Carota's NPI number?

The NPI number for Thomas Carota is 1316714090. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Thomas Carota located?

Thomas Carota practices at 1656 Riverchase Blvd Suite 2500, Rock Hill, SC 29732. The listed phone number is (803) 327-3456.

What is Thomas Carota's specialty?

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

Is Thomas Carota enrolled in Medicare?

Yes. Thomas Carota 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 Thomas Carota accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Thomas Carota 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 Thomas Carota affiliated with any hospitals?

According to CMS data, Thomas Carota is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Thomas Carota was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.