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Export Provider Record NPI 1174501449
Walter Earl CarnahanDO
Active
NPI Number1174501449
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1174501449
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-01-05
Last Updated2025-04-30
Mailing Address1211 Union Ave Ste 330
Memphis, TN 38104-6655
United States
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Primary Practice Address5908 Getwell Rd
Southaven, MS 38672-7317
United States
Phone: (662) 536-4646 | Fax: (662) 536-4443
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineMS16014
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About NPI 1174501449

Walter Earl Carnahan DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174501449. The primary specialty listed is Family Medicine. The provider is located in Southaven, MS. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1174501449?

NPI 1174501449 belongs to Walter Earl Carnahan DO, a Family Medicine in Southaven, MS. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1174501449 active?

The current status of NPI 1174501449 in the NPPES registry is Active. The record was last updated on 2025-04-30.

What specialty is NPI 1174501449?

NPI 1174501449 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1174501449?

You can verify NPI 1174501449 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1174501449?

The primary practice address on file for NPI 1174501449 is 5908 Getwell Rd, Southaven, MS 38672-7317. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1174501449 issued?

NPI 1174501449 was first issued (enumerated) on 2006-01-05. The NPPES record was last updated on 2025-04-30.

Practice Location Map

Walter Earl Carnahan is located at 5908 Getwell Rd, Southaven, MS. Use the map below to find directions or verify the practice location.

📍 5908 Getwell Rd, Southaven, MS 38672-7317  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Walter Earl Carnahan. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1174501449. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine16014MS
Data Verified from CMS NPPES Last synced: 2026-07-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162