Russell Wayne Carr, PT, DPT - Medicare Physical Therapist in Kingsport, TN

Russell Wayne Carr, PT, DPT is a medicare enrolled "Physical Therapist" provider in Kingsport, Tennessee. His current practice location is 1704 E Stone Dr Ste 120, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 765-0985.

Russell Wayne Carr is licensed to practice in Tennessee (license number 12261) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639694490.

Contact Information

Russell Wayne Carr, PT, DPT
1704 E Stone Dr Ste 120,
Kingsport, TN 37660-4679
(423) 765-0985
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRussell Wayne Carr
GenderMale
SpecialityPhysical Therapist
Location1704 E Stone Dr Ste 120, Kingsport, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639694490
  • Provider Enumeration Date: 08/13/2017
  • Last Update Date: 03/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9739454174
  • Enrollment ID: I20171010003413

Medical Identifiers

Medical identifiers for Russell Wayne Carr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639694490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT013054 (Georgia)Secondary
225100000XPhysical Therapist 12261 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Russell Wayne Carr allows following entities to bill medicare on his behalf.
Provider NameIndependent Physical Therapy Of Georgia Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell Wayne Carr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell Wayne Carr, PT, DPT
6397 Lee Hwy Ste 300,
Chattanooga, TN 37421-4915

Ph: (423) 238-8930
Russell Wayne Carr, PT, DPT
1704 E Stone Dr Ste 120,
Kingsport, TN 37660-4679

Ph: (423) 765-0985

Reviews and Comments


Physical Therapist in Kingsport, TN

Mrs. Allene Proctor Heaton, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660
Phone: 423-224-5751    Fax: 423-224-5776
Makaylah Darnell, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Netherland Ln, Kingsport, TN 37660
Phone: 423-245-0360    
Gilgia Prumbs, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2408 Fort Henry Dr, Kingsport, TN 37664
Phone: 423-246-7272    Fax: 423-246-2803
Dr. Emily Kristina Stubblefield, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 113 Cassell Drive, Kingsport, TN 37660
Phone: 423-246-7240    
Advanced Therapy Of Kingsport
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1101 E Stone Dr Ste 3, Kingsport, TN 37660
Phone: 423-230-6323    
Mary Rebecca Mooney, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 103 W Stone Dr, Kingsport, TN 37660
Phone: 423-224-5751    
Sarah Elizabeth Caldwell, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 103 W Stone Dr, Suite 200, Kingsport, TN 37660
Phone: 423-224-2059    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.