CARTHAL JONATHAN ANDERSON MD
NPI 1598343998
Emergency Medicine in Augusta, GA

NPI Status: Active since March 30, 2021

Contact Information

3651 WHEELER RD
AUGUSTA, GA
ZIP 30909
Phone: (832) 443-5774

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Emergency Medicine
Accepts Insurance
PECOS Enrolled

About CARTHAL ANDERSON

This page provides the complete NPI Profile along with additional information for Carthal Anderson, a provider established in Augusta, Georgia with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1598343998 assigned on March 2021. The practitioner's primary taxonomy code is 207P00000X with license number 100453 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI: 1598343998
Provider Name: CARTHAL JONATHAN ANDERSON MD
Gender: Male
Entity Type: Individual
Location Address: 3651 WHEELER RD AUGUSTA, GA 30909
Location Phone: (832) 443-5774
Mailing Address: 3555 BELLERIVE CIR MARTINEZ, GA 30907
Mailing Phone: (832) 443-5774
Is Sole Proprietor?: No
Enumeration Date: 03-30-2021
Last Update Date: 06-17-2024
Code Navigator

Location Map

Secondary Locations

2500 N State St
Jackson, MS 39216
(601) 984-1000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Emergency Medicine
Taxonomy Code: 207P00000X
Type: Allopathic & Osteopathic Physicians
License No.: 100453
License State: GA
Taxonomy Description: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	207P00000X	Allopathic & Osteopathic Physicians	Emergency Medicine	30986 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Carthal Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30909 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $83.23
Minimum New Patient Price $53.31
Maximum New Patient Price $164.04

Average New Patient Copayment $20.8
Minimum New Patient Copayment $13.32
Maximum New Patient Copayment $41.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $94.84
Minimum Established Patient Price $16.68
Maximum Established Patient Price $133.24

Average Established Patient Copayment $23.71
Minimum Established Patient Copayment $4.17
Maximum Established Patient Copayment $33.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	9	8	3	4	3	9	9	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	18	8	6	4	6	9	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 6 + 4 + 6 + 9 + 1 + 8 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 8									8

The NPI number 1598343998 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DEAN R LOSS CRNA

Nurse Anesthetist, Certified Registered

3651 WHEELER RD
AUGUSTA, GA
ZIP 30909

About CARTHAL ANDERSON

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Emergency Medicine

Secondary Taxonomies

Emergency Medicine

Insurance Plans Accepted

Molina Healthcare

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for CARTHAL JONATHAN ANDERSON MD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Carthal Anderson's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Carthal Anderson accept?