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MR. MICHAEL CLAY CARROLL JR. PMHNP
NPI 1750197406
Nurse Practitioner - Psychiatric/Mental Health in Dublin, GA

Active since December 07, 2024
2121A BELLEVUE RD, DUBLIN, GA 31021(478) 272-1190 Get Directions Write a Review

NPPES record last updated: December 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Clay Carroll Jr. Pmhnp NPPES

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

MR. MICHAEL CLAY CARROLL JR. PMHNP (NPI 1750197406) is an individual psychiatric/mental health provider in Dublin, Georgia, licensed in Georgia (RN269338) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1750197406
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MICHAEL CLAY CARROLL JR.Credential: PMHNP
Location Address2121A BELLEVUE RDDublin, GA 31021-2998
Mailing Address303 Regency CirDublin, GA 31021-4315
Phone(478) 272-1190
Sole ProprietorNo
Enumeration DateDecember 7, 2024
NPPES CertifiedDecember 7, 2024
✔ NPI 1750197406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN269338
2121A BELLEVUE RD, Dublin, GA 31021
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Other Providers at the Same Location NPPES 20

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

BASERINE C. GRACE LPN
Licensed Practical Nurse
2121A BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 272-1190
YOLANDA PHYLICIA CAMPBELL LPC
Counselor (Mental Health)
2121A BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 272-1190
CSB OF MIDDLE GEORGIA
Licensed Practical Nurse
2121A BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 272-1190
MRS. JENNIFER HESTER FREEMAN LCSW
Social Worker (Clinical)
2121A BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 272-1190
MS. BETTY ANN BOUTWELL LPN
Licensed Practical Nurse
2121A BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 272-1190
JOHNNY WILLIAMS
Registered Nurse
2121A BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 272-1190
SANDRA L SOUZA M.D.
Family Medicine
2121A BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 272-1190
ANGELA J. HACKLE LPN
Licensed Practical Nurse
2121A BELLEVUE RD
DUBLIN, GA 31021
Laurens County (478) 272-1190

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 Michael Carroll's NPI number?

The NPI number for Michael Carroll is 1750197406. It was assigned to this individual provider in the NPPES registry on December 7, 2024.

Where is Michael Carroll located?

Michael Carroll practices at 2121A Bellevue Rd, Dublin, GA 31021. The listed phone number is (478) 272-1190.

What is Michael Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Michael Carroll was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.