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

Loren Carroll, MD

Individual provider Family Medicine Physician · NPI 1104168178

Loren Carroll, MD is a Family Practice in Jackson, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2013, 13 years ago. Practices with Ultra Health LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2013
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

346 Shadow Ridge Dr
Jackson, TN 38305-8507
Phone: (731) 345-0263
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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 51998 (TN)

Record details

NPI number1104168178
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2013
Last updated in NPPESJune 23, 2016
Mailing address346 Shadow Ridge Dr, Jackson, TN 38305-8507

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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