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

Jimmy Russell Carroll Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1477796241

Jimmy Russell Carroll Jr., MD is a Diagnostic Radiology in Germantown, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2009, 17 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
17
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2009
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

7600 Wolf River Blvd Ste 200
Germantown, TN 38138-1788
Phone: (901) 747-1000
Fax: (901) 747-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD0000048405 (TN)

Record details

NPI number1477796241
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2009
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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