TIMOTHY GLENN CARROLL MD
NPI 1598852428
Pediatrics - Pediatric Critical Care Medicine in Pensacola, FL

Q: What is Timothy Carroll's NPI number?

The NPI number for Timothy Carroll is 1598852428. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Timothy Carroll's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Carroll was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 10, 2006PECOS Enrolled

8331 N DAVIS HWY, PENSACOLA, FL 32514(850) 505-4700(850) 505-4711 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2023, Feb 10, 2022, Aug 10, 2016 (3 updates tracked since 2016).

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About Timothy Glenn Carroll Md NPPES

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

TIMOTHY GLENN CARROLL MD (NPI 1598852428) is an individual pediatric critical care medicine provider in Pensacola, Florida, licensed in Florida (ME158862) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598852428

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameTIMOTHY GLENN CARROLLCredential: MD

Location Address8331 N DAVIS HWYPensacola, FL 32514-6094

Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4100 · Fax (904) 697-5102

Phone(850) 505-4700

Fax(850) 505-4711

Sole ProprietorNo

Enumeration DateOctober 10, 2006

Last NPPES UpdateMay 23, 20243 updates tracked since enumeration

NPPES CertifiedMay 23, 2024

✔ NPI 1598852428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in FL · ME158862✔ Licensed in OK · 28346

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

8331 N DAVIS HWY, Pensacola, FL 32514

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Glenn Carroll 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.

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Other Providers at the Same Location NPPES 19

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

DR. WILLIAM B SLAYTON MD

Pediatrics (Pediatric Hematology-Oncology)