WALTER EARL CARNAHAN (DO) – Family Medicine Physician, NPI 1174501449

WALTER EARL CARNAHAN (DO) is a healthcare provider. based in Southaven, Mississippi. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 16014 (MS). The NPI Number for WALTER EARL CARNAHAN (DO) is 1174501449

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
WALTER EARL CARNAHAN (DO)
NPI
1174501449
Phone
(662) 536-4646
Address
7900 AIRWAYS BLVD
Enumeration Date
5 January 2006
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6625364646
Graduation Year
1988 (38 years ago)
PAC ID
9537185806
Group Practice PAC ID
0941480131
Professional Enrollment ID
I20051019000631
Address ID
MS386727317SO5908XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

941 FAMILY PRACTICE in MS

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Provider Addresses for WALTER EARL CARNAHAN (DO)

  • Concorde Career College - Southaven, 7900, Airways Boulevard, Southaven, DeSoto County, Mississippi, 38671, United States

    BLDG A SUITE 6

    SOUTHAVEN, MS 386714113

    Phone: (662) 536-4646

    Fax: (662) 536-4443

    Type: Mailing

  • 1211 UNION AVE STE 330

    MEMPHIS, TN 381046655

    Phone:

    Type: Mailing

  • 5908 GETWELL RD

    SOUTHAVEN, MS 386727317

    Phone: (662) 536-4646

    Fax: (662) 536-4443

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $8,251.

Total Amount is formed as General ($8,251) + Research ($0) + Ownership ($0) = $8,251.

Last reported payment date: 2024-11-16 • Largest payer in this snapshot: ABBVIE INC. ($8,160).

Total Amount

$8,251

General + Research + Ownership

Payments

11

Total payment records

General Amount

$8,251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$8,160
PFIZER INC.$90
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: 2005-10-19

PECOS data refreshed: 2026-06-15

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
I20051019000631IFamily PracticeMSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes529261$0
99213Established patient office or other outpatient visit, 20-29 minutes152112$0
64615Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face2711$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and2522$0
71046X-ray of chest, 2 views2119$0
View full utilization report →

Insurance plans in this area (ZIP 38671)

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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: 0941480131View full group profile

Reviews

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Frequently asked questions

Can I verify WALTER EARL CARNAHAN (DO) with an NPI only?
You can start verification with NPI 1174501449 for WALTER EARL CARNAHAN (DO), then check state licensing separately.
Does the file indicate WALTER EARL CARNAHAN (DO) is practicing under active NPI?
Directory data currently reports WALTER EARL CARNAHAN (DO) as active.
What is WALTER EARL CARNAHAN (DO)'s primary classification?
Family Medicine Physician is the headline specialty for WALTER EARL CARNAHAN (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect WALTER EARL CARNAHAN (DO) on a map?
Expect Southaven, Mississippi as a primary anchor for WALTER EARL CARNAHAN (DO) unless the record lists multiple sites.
Why does WALTER EARL CARNAHAN (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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