JOHN DAVIDSON CARSON (M.D.) – Emergency Medicine Physician, NPI 1053478651

JOHN DAVIDSON CARSON (M.D.) is a healthcare provider. based in Savannah, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 016321 (GA). The NPI Number for JOHN DAVIDSON CARSON (M.D.) is 1053478651

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DAVIDSON CARSON (M.D.)
NPI
1053478651
Phone
(912) 358-1515
Address
318 MALL BLVD STE 300B
Enumeration Date
2 January 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9127562273
Graduation Year
1973 (53 years ago)
PAC ID
9638492309
Group Practice PAC ID
8022554526
Professional Enrollment ID
I20150105000820
Address ID
GA313247646RI60XXXSTXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,514 EMERGENCY MEDICINE in GA

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Provider Addresses for JOHN DAVIDSON CARSON (M.D.)

  • 300, Mall Boulevard, Chippewa Terrace, Savannah, Chatham County, Georgia, 31406, United States

    SAVANNAH, GA 314064758

    Phone: (912) 358-1515

    Fax: (912) 480-0505

    Type: Location

  • 60 EXCHANGE ST STE B7

    RICHMOND HILL, GA 313247646

    Phone: (912) 756-2273

    Fax: (972) 756-3773

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: Integra LifeSciences Corporation ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

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: 2015-01-05

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
I20150105000820IEmergency MedicineGATBD

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 31406)

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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: 8022554526View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantDE
Physician AssistantGA
Emergency MedicinePA
Physician AssistantWA
Pediatric MedicineGA
Nurse PractitionerGA
Physician AssistantNC
Nurse PractitionerGA
Physician AssistantGA

Reviews

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Frequently asked questions

Does JOHN DAVIDSON CARSON (M.D.) have a public NPI I can cite?
Public records show JOHN DAVIDSON CARSON (M.D.) under NPI 1053478651.
Does the public listing show JOHN DAVIDSON CARSON (M.D.) as active?
JOHN DAVIDSON CARSON (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say JOHN DAVIDSON CARSON (M.D.) does?
Insurance directories may phrase it differently, but here JOHN DAVIDSON CARSON (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JOHN DAVIDSON CARSON (M.D.)?
JOHN DAVIDSON CARSON (M.D.) shows a connection to Savannah, Georgia in registry-derived data.
Who maintains JOHN DAVIDSON CARSON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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