MR. QUINTON W CARROLL APRN
NPI 1619187283
Nurse Practitioner - Family in Johnson City, TN

Active since May 23, 2007
508 PRINCETON RD, SUITE 104, JOHNSON CITY, TN 37601(423) 384-0614(423) 928-5814 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Quinton W Carroll Aprn NPPES

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

MR. QUINTON W CARROLL APRN (NPI 1619187283) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (14954) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1619187283
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. QUINTON W CARROLLCredential: APRN
Location Address508 PRINCETON RD, SUITE 104Johnson City, TN 37601-2060
Mailing AddressPo Box 4446Johnson City, TN 37602 · (423) 384-0614 · Fax (423) 928-5814
Fax(423) 928-5814
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 5, 2017
NPI 1619187283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 14954
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 153426 (TN)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 14954 (TN)
508 PRINCETON RD, Johnson City, TN 37601

Other Identifiers 3

Medicare PIN103I502621TN
Medicare OSCAR/certification103I502621TN
Medicaid1519749TN

Other Providers at the Same Location NPPES 12

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

Clinic/Center (Primary Care)
508 PRINCETON RD, SUITE 104
JOHNSON CITY, TN 37601
Dentist (Oral and Maxillofacial Surgery)
508 PRINCETON RD, SUITE 204
JOHNSON CITY, TN 37601
Urology
508 PRINCETON RD, SUITE 104
JOHNSON CITY, TN 37601
Dentist (General Practice)
508 PRINCETON RD
JOHNSON CITY, TN 37601
Dentist (Orthodontics and Dentofacial Orthopedics)
508 PRINCETON RD, SUITE 305
JOHNSON CITY, TN 37601
Dentist (Oral and Maxillofacial Surgery)
508 PRINCETON RD, SUITE 204
JOHNSON CITY, TN 37601
Counselor (Professional)
508 PRINCETON RD, STE 403
JOHNSON CITY, TN 37601
Counselor (Mental Health)
508 PRINCETON RD, SUITE 403
JOHNSON CITY, TN 37601

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 Quinton Carroll's NPI number?

The NPI number for Quinton Carroll is 1619187283. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Quinton Carroll located?

Quinton Carroll practices at 508 Princeton Rd Suite 104, Johnson City, TN 37601. The listed phone number is (423) 384-0614.

What is Quinton Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Quinton Carroll was last updated on May 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.