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DR. BRENT TIMOTHY CARROLL D.O
NPI 1528262045
Family Medicine in Cumming, GA

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
410 PEACHTREE PKWY STE 4226, CUMMING, GA 30041(678) 341-9881(678) 341-9883 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 15, 2021, Dec 18, 2015 (2 updates tracked since 2015).

About Dr. Brent Timothy Carroll D.o NPPES

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

DR. BRENT TIMOTHY CARROLL D.O (NPI 1528262045) is an individual family medicine provider in Cumming, Georgia, licensed in Georgia (060246) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528262045
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRENT TIMOTHY CARROLLCredential: D.O
Location Address410 PEACHTREE PKWY STE 4226Cumming, GA 30041-7439
Mailing Address410 Peachtree Pkwy Ste 4226Cumming, GA 30041-7439 · (678) 341-9881 · Fax (678) 341-9883
Phone(678) 341-9881
Fax(678) 341-9883
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 11, 2007
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1528262045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 060246✔ Licensed in UT · 308585-1204
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
410 PEACHTREE PKWY STE 4226, Cumming, GA 30041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Dr. Brent Timothy Carroll D.o 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 ID9133298383
PECOS Enrollment IDI20080514000636
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 4

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.
78 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services29 patients
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.
22 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims49 services$5.36 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers28 claims33 services$2.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JACQUELINE R BAKER PA
Physician Assistant
410 PEACHTREE PKWY STE 4226
CUMMING, GA 30041
Forsyth County (678) 341-9881
CARROLL TOTAL HEALTHCARE,PC
Clinic/Center (Medical Specialty)
410 PEACHTREE PKWY STE 4226
CUMMING, GA 30041
Forsyth County (678) 341-9881

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 Brent Carroll's NPI number?

The NPI number for Brent Carroll is 1528262045. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Brent Carroll located?

Brent Carroll practices at 410 Peachtree Pkwy Ste 4226, Cumming, GA 30041. The listed phone number is (678) 341-9881.

What is Brent Carroll's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brent Carroll enrolled in Medicare?

Yes. Brent Carroll 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 Brent Carroll accept?

Health plans from Alliant Health Plans, Inc. list Brent Carroll 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 Brent Carroll affiliated with any hospitals?

According to CMS data, Brent Carroll is affiliated with Northside Hospital Forsyth and Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Brent Carroll was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.