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

Gretta Carroll, MD

Individual provider Family Medicine Physician · NPI 1619358900

Gretta Carroll, MD is a Family Practice in Holloman AFB, New Mexico. Graduated from Creighton University School of Medicine in 2015, 11 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
11
Trained at
Creighton University School of Medicine
Licensed in
NE
In the registry since
2015
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

280 1st St
Holloman AFB, NM 88330-8273
Phone: (575) 572-7091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 29856 (NE)

Record details

NPI number1619358900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2015
Last updated in NPPESMarch 21, 2022
Certification dateMarch 19, 2022
Mailing address280 1st St, Holloman Afb, NM 88330-8273

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Holloman AFB