DR. MALCOLM CARSON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1164925947

DR. MALCOLM CARSON (MD) is a healthcare provider. based in Richmond, California. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 96720 (GA). The NPI Number for DR. MALCOLM CARSON (MD) is 1164925947

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MALCOLM CARSON (MD)
NPI
1164925947
Phone
Not provided
Address
3629 RIDGEWOOD WAY
Enumeration Date
17 March 2018
Deactivation Date
17 March 2018
Reactivation Date
4 April 2018
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2016546397
Graduation Year
2018 (8 years ago)
PAC ID
7214289321
Group Practice PAC ID
4284952615
Professional Enrollment ID
I20231006000265
Address ID
GA302534207MC2200XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

314 PHYSICAL MEDICINE AND REHABILITATION in GA

Provider Addresses for DR. MALCOLM CARSON (MD)

  • 3629, Ridgewood Way, Richmond, Contra Costa County, California, 94806, United States

    RICHMOND, CA 948061943

    Phone:

    Type: Mailing

  • 80 JESSE HILL JR DR SE

    ATLANTA, GA 303033031

    Phone: (404) 616-1000

    Type: Location

  • PO BOX 22239

    NEW YORK, NY 100870001

    Phone: (702) 899-0595

    Fax: (702) 977-1496

    Type: Mailing

  • 2101 NEWNAN CROSSING BLVD E

    NEWNAN, GA 302652406

    Phone: (872) 231-3162

    Fax: (702) 977-1496

    Type: Location

  • JFK Medical Center, 65, James Street, Edison, Middlesex County, New Jersey, 08818, United States

    EDISON, NJ 088203947

    Phone: (732) 321-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: ABBVIE INC. ($43).

Total Amount

$123

General + Research + Ownership

Payments

6

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231006000265IPhysical Medicine And RehabilitationGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94806)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284952615View full group profile
NameSpecialtyState
-CT
Physical Medicine And RehabilitationNY
-NY
Physical Medicine And RehabilitationWA
-OH
Pain Management, Hand Surgery, Interventional Pain Management, Orthopedic Surgery, Physical Medicine And RehabilitationNY
-DC
Physical Medicine And RehabilitationMA
Physical Medicine And Rehabilitation, Pain Management, Pain ManagementNY
Physical Medicine And Rehabilitation, Pain ManagementMD

Reviews

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Frequently asked questions

What identifier follows DR. MALCOLM CARSON (MD) across health systems?
The NPI 1164925947 uniquely identifies DR. MALCOLM CARSON (MD) in U.S. healthcare data.
Does the public listing show DR. MALCOLM CARSON (MD) as active?
DR. MALCOLM CARSON (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. MALCOLM CARSON (MD)'s specialty?
The extract shows Physical Medicine & Rehabilitation Physician for DR. MALCOLM CARSON (MD). Clinical services aligned with this taxonomy classification.
Is DR. MALCOLM CARSON (MD) tied to Richmond, California?
If you are local to Richmond, California, DR. MALCOLM CARSON (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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