CARSON MEDICAL GROUP
NPI 1780694620
Family Medicine in Carson City, NV

Q: What is Carson Medical Group Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 09, 2006CLIA Certified · 3 labs

1946 OLD HOT SPRINGS RD, CARSON CITY, NV 89706(775) 283-5050 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Jul 25, 2024, May 17, 2024 and 1 more (4 updates tracked since 2019).

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About Carson Medical Group NPPES

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

CARSON MEDICAL GROUP (NPI 1780694620) is a healthcare organization registered as a family medicine in Carson City, Nevada and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates and lists Laurie Camper, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1780694620

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCARSON MEDICAL GROUP PROFESSIONAL CORPORATION

Location Address1946 OLD HOT SPRINGS RDCarson City, NV 89706-0674

Mailing Address1946 Old Hot Springs RdCarson City, NV 89706-0674 · (775) 283-5050 · Fax (775) 882-2382

Phone(775) 283-5050

Organization SubpartNo

Authorized OfficialLaurie CamperCredentialing Specialist · (775) 883-5555

Enumeration DateAugust 9, 2006

Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1780694620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

1946 OLD HOT SPRINGS RD, Carson City, NV 89706

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Other Names 1

Doing Business AsCarson Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D0678245

Carson Medical Group · Carson City, NV

Active · expires Aug 13, 2027

CLIA Number29D0678245

Laboratory TypePhysician Office

Certificate Effective DateAugust 14, 2025

Certificate Expiration DateAugust 13, 2027

Laboratory DirectorJames T. Breeden

Laboratory Phone(775) 882-1324

Laboratory LocationCarson Medical Group1946 Old Hot Springs Rd, Carson City, NV 89706

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 29D2007828

Carson Medical Group - 925 Ironwood Dr · Minden, NV

Active · expires May 25, 2028

CLIA Number29D2007828

Laboratory TypePhysician Office

Certificate Effective DateMay 26, 2026

Certificate Expiration DateMay 25, 2028

Laboratory DirectorJames T. Breeden

Laboratory Phone(775) 883-5555

Laboratory LocationCarson Medical Group - 925 Ironwood Dr925 Ironwood Drive Suite 2111, Minden, NV 89423

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 29D2007756

Carson Medical Group - 1475 Medical Pkwy · Carson City, NV

Active · expires May 24, 2028

CLIA Number29D2007756

Laboratory TypePhysician Office

Certificate Effective DateMay 25, 2026

Certificate Expiration DateMay 24, 2028

Laboratory DirectorJames T. Breeden

Laboratory Phone(775) 883-5555

Laboratory LocationCarson Medical Group - 1475 Medical Pkwy1475 Medical Parkway, Carson City, NV 89703

CLIA data matches this NPI record on: Name Phone

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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.

MRS. SARAH HOLLOMAN

Physician Assistant (Medical)