NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

DOUGLAS J CARROLL, PA-C
2410 SUSANNAH ST
JOHNSON CITY, TN37601-1748
 Phone: 423-282-9011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DOUGLAS J CARROLL · (Male)

NPI # 1649428277
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/08/2008
Last updated 09/30/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 0010-01521
  • TN License # 3434
Hospital affiliation(s)
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DOUGLAS J CARROLL

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for DOUGLAS J CARROLL
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Physician Assistants & APNs
WATAUGA ORTHOPAEDICS, PLC
875 LARRY NEIL WAY
KINGSPORT, TN
EUGENE P HATCHER, PHYSICIAN ASSISTANT
LAMONT ST
JOHNSON CITY, TN
RYLEA J PERKINS, PA
2108 PLEASANT VIEW DR
JOHNSON CITY, TN
CHRISTINE T KINLEY, PAC
3741 W MARKET ST
JOHNSON CITY, TN
LAUREN T HAYDEN, PA
403 N STATE OF FRANKLIN RD WOODRIDGE HOSPITAL
JOHNSON CITY, TN
ISAAC W CULBERT, PA-C
1 BLOWERS BLVD
MILLIGAN, TN
WILLIAM J ADERHOLD JR, PA
105 GAY ST
ERWIN, TN
HAROLD C LITTLE, PA
3 SHERIDAN SQUARE
KINGSPORT, TN
TERESA A STARKE, PA
8 SHERIDAN SQUARE, SUITE 110
KINGSPORT, TN
PAUL DIERS, PA-C
2202 JOHN B DENNIS HWY
KINGSPORT, TN

  View all Physician Assistants & APNs
v2.403