Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Jackie Carpenter Jr., MD

Individual provider Surgery Physician · NPI 1073508404

Charles Jackie Carpenter Jr., MD is a General Surgery in Dothan, Alabama. Graduated from University of Alabama School of Medicine in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
34
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4300 W Main St Ste 21
Dothan, AL 36305-1058
Phone: (334) 793-9564
Fax: (334) 671-8907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 17706 (AL)

Record details

NPI number1073508404
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 12, 2005
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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