CARL MCDONALD MD
NPI 1487113650
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since March 18, 2019PECOS Enrolled
1601 OWEN DR, FAYETTEVILLE, NC 28304(910) 678-0100 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2021, Mar 18, 2019 (2 updates tracked since 2019).

About Carl Mcdonald Md NPPES

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

CARL MCDONALD MD (NPI 1487113650) is an individual student in an organized health care education/training program in Fayetteville, North Carolina, licensed in North Carolina (RTL190323) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487113650
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARL MCDONALDCredential: MD
Location Address1601 OWEN DRFayetteville, NC 28304-3425
Mailing Address1601 Owen DrFayetteville, NC 28304-3425 · (910) 678-0100
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
NPI 1487113650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NC · RTL190323
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.
1601 OWEN DR, Fayetteville, NC 28304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carl Mcdonald Md 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.

Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine (Infectious Disease)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304

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 Carl Mcdonald's NPI number?

The NPI number for Carl Mcdonald is 1487113650. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Carl Mcdonald located?

Carl Mcdonald practices at 1601 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 678-0100.

What is Carl Mcdonald's specialty?

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

Is Carl Mcdonald enrolled in Medicare?

Yes. Carl Mcdonald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carl Mcdonald was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.