Mr. Charles Wayne Carroll
NP | Nurse Practitioner - Family | 4+ years Exp
405 Scenic Dr Ste A, Rogersville
Tennessee, 37857-2441
423-921-3490
Mr. Charles Wayne Carroll is a Rogersville, Tennessee based nurse practitioner with 4 years of experience in Family. He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Charles Wayne Carroll is 30647 for Family in Tennessee. His current practice location is 405 Scenic Dr Ste A, Rogersville. Patients can reach him at 423-921-3490. Mr. Charles Wayne Carroll is NP with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1043962541.
Mr. Charles Wayne Carroll delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mr. Charles Wayne Carroll speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Charles Wayne Carroll |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Male |
| Credentials: | NP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 405 Scenic Dr Ste A, Rogersville,
Tennessee, 37857-2441 |
| Phone: | 423-921-3490 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5597158808 |
| Enrollment ID: | I20220209002123 |
| NPI Number: | 1043962541 |
| NPI Enumeration Date: | 25 Jan, 2022 |
| NPI Last Update On: | 22 Feb, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charles Wayne Carroll are as mentioned below.
| License Number | Specialization | State | Status | |
| 30647 | Family | Tennessee | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Charles Wayne Carroll is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Fast Pace Medical Clinic Pllc (5395881841) | 332 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Charles Wayne Carroll
1021 W Oakland Ave Ste 310,
Johnson City, Tennessee |
| Zip: | 37604-2192 |
| Phone Number: | 423-952-2111 |
| Fax Number: | 423-282-1657 |
Patients can reach Mr. Charles Wayne Carroll at
405 Scenic Dr Ste A, Rogersville, Tennessee or can
call to book an appointment on 423-921-3490.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.