GEORGE CARROLL MD PA
NPI 1740312636
Internal Medicine in Maitland, FL
About George Carroll Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGE CARROLL MD PA (NPI 1740312636) is a healthcare organization registered as an internal medicine in Maitland, Florida and active in the NPI registry since March 2007. The organization lists George William Carroll, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
George Carroll Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to George Carroll MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 George Carroll MD PA's NPI number?
The NPI number for George Carroll MD PA is 1740312636. It was assigned to this organization in the NPPES registry on March 9, 2007.
Where is George Carroll MD PA located?
George Carroll MD PA is located at 100 East Sybelia Ave Suite 140, Maitland, FL 32751. The listed phone number is (407) 894-9959.
What is George Carroll MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is George Carroll MD PA enrolled in Medicare?
Yes. George Carroll MD PA is registered in the Medicare PECOS enrollment system.
When is George Carroll MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through George Carroll MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to George Carroll MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for George Carroll MD PA was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# George Carroll Md Pa · NPI 1740312636
Internal Medicine organization in Maitland, Florida. Organization record, active in the CMS NPPES registry since March 9, 2007.
## Identity
- **NPI:** 1740312636 (Entity type: Organization)
- **Enumerated:** March 9, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** George Carroll, PRESIDENT
## Practice location
- **Address:** 100 EAST SYBELIA AVE, SUITE 140, Maitland, FL 32751-4750
- **Phone:** (407) 894-9959
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1740312636) · Data from the CMS NPPES public registry.