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

Justin Carroll

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104208065

Justin Carroll is an Emergency Medicine in Columbus, Ohio. Graduated from Wayne State University School of Medicine in 2015, 11 years ago. Practices with Georgia Emergency Group LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Trained at
Wayne State University School of Medicine
Licensed in
GA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

376 W 10th Ave 760 Prior Hall
Columbus, OH 43210-1280
Phone: (614) 293-3551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 84208 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104208065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2015
Last updated in NPPESOctober 21, 2019
Mailing address601 S 8th St, Griffin, GA 30224-4213

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Georgia Emergency Group Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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