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WALTER CARR
NPI 1396430484
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since April 06, 2023PECOS Enrolled
3209 COLONIAL DR, COLUMBIA, SC 29203(803) 434-7399 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Walter Carr NPPES

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

WALTER CARR (NPI 1396430484) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396430484
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWALTER CARR
Location Address3209 COLONIAL DRColumbia, SC 29203-6930
Mailing Address3209 Colonial DrColumbia, SC 29203-6930
Phone(803) 434-7399
Sole ProprietorYes
Enumeration DateApril 6, 2023
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1396430484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License LL89866 (SC)
3209 COLONIAL DR, Columbia, SC 29203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter Carr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. CHARLES JOSEPH CARTER JR. M.D.
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
ERIN RENAE JONES NP
Nurse Practitioner (Family)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 466-4323
KRISTIAN JORGENSEN DO
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-7399
KAITLIN RESTREPO
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-2420
DR. JUDE OKECHUKWU ONUOHA MD
Preventive Medicine (Public Health & General Preventive Medicine)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-7399
IVORIE STANLEY MD
Preventive Medicine (Occupational Medicine)
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
DR. TIMOTHY MYLES AYER MD
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (803) 434-6113
DYNE EDMONDSON
Student in an Organized Health Care Education/Training Program
3209 COLONIAL DR
COLUMBIA, SC 29203
Richland County (989) 439-4847

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 Walter Carr's NPI number?

The NPI number for Walter Carr is 1396430484. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Walter Carr located?

Walter Carr practices at 3209 Colonial Dr, Columbia, SC 29203. The listed phone number is (803) 434-7399.

What is Walter Carr's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Walter Carr enrolled in Medicare?

Yes. Walter Carr is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Carr was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.