MR. RICKEY R CARSON (MD) – Family Medicine Physician, NPI 1356333561

MR. RICKEY R CARSON (MD) is a healthcare provider. based in Memphis, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD013931 (TN). The NPI Number for MR. RICKEY R CARSON (MD) is 1356333561

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICKEY R CARSON (MD)
NPI
1356333561
Phone
(901) 800-2152
Address
3030 COVINGTON PIKE
Enumeration Date
16 August 2005
Last Update Date
17 April 2013

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
9017297801
Graduation Year
1974 (52 years ago)
PAC ID
7911095401
Group Practice PAC ID
1052362167
Professional Enrollment ID
I20071116000353
Address ID
TN381285016ME3040XPIKE302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for MR. RICKEY R CARSON (MD)

  • Covington Pike, Memphis, Shelby County, Tennessee, 38122, United States

    SUITE 100

    MEMPHIS, TN 381285049

    Phone: (901) 800-2152

    Fax: (901) 384-6309

    Mailing address matches the actual address.

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$15
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: 2007-11-16

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
I20071116000353IFamily PracticeTNTBD

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 38128)

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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: 1052362167View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTN
Obstetrics/Gynecology, Family PracticeTN
Family Practice, Obstetrics/GynecologyTN
Clinical Social WorkerNC
Family PracticeTN
Family PracticeFL
Family PracticeMO
Family Practice, Obstetrics/GynecologyPA

Reviews

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Frequently asked questions

Can I use this page to confirm MR. RICKEY R CARSON (MD)'s NPI?
Yes. MR. RICKEY R CARSON (MD) is listed with NPI 1356333561 in the public NPI dataset.
Does the file indicate MR. RICKEY R CARSON (MD) is practicing under active NPI?
Directory data currently reports MR. RICKEY R CARSON (MD) as active.
What is MR. RICKEY R CARSON (MD)'s primary classification?
Family Medicine Physician is the headline specialty for MR. RICKEY R CARSON (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. RICKEY R CARSON (MD) on a map?
Expect Memphis, Tennessee as a primary anchor for MR. RICKEY R CARSON (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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