Individual Healthcare Provider
Charles Wayne Carroll, NP
Provider's NPPES record last updated: February 22, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1043962541
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Rogersville, Tennessee
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:27 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Tennessee)
- 30647
Practice Locations
Practice Location
405 Scenic Dr Ste A
Rogersville, Tennessee 37857-2441
Phone: (423) 921-3490
Additional Practice Location
1116 Highway 11 W
Church Hill, Tennessee 37642-3023
Phone: (423) 226-5109
Fax: (423) 226-5150
Additional Practice Location
4600 Fort Henry Dr
Kingsport, Tennessee 37663-2617
Phone: (423) 224-3950
Additional Practice Location
2686 W State St
Bristol, Tennessee 37620-1817
Phone: (423) 844-0026
Additional Practice Location
438 E Vann Rd Ste 301
Greeneville, Tennessee 37743-7202
Phone: (423) 636-9828
Additional Practice Location
161 Heart Dr Ste A
Johnson City, Tennessee 37604-2607
Phone: (423) 282-0751
Additional Practice Location
111 W Stone Dr Ste 110
Kingsport, Tennessee 37660-6027
Phone: (423) 224-3701
Additional Practice Location
1497 W Elk Ave Ste 11
Elizabethton, Tennessee 37643-2896
Phone: (423) 542-8929
Record Information
- Enumeration Date
- January 25, 2022
- Provider's NPPES Record Last Updated
- February 22, 2025
- Certification Date
- February 22, 2025
- NPISignal NPPES Dataset
- August 2026
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