Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MALCOLM CARSON, MD
Deactivated Sole ProprietorPhysical Medicine & Rehabilitation · NEWNAN, GA
This NPI has been deactivated.
The record was deactivated on March 17, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1164925947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2018
- Last Updated
- Dec 11, 2025
- Deactivated
- Mar 17, 2018
- License
-
96720 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2101 NEWNAN CROSSING BLVD ENEWNAN, GA, 302652406Browse GA providers · Browse ZIP 30265
- Phone
- 8722313162
- Fax
- 7029771496
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in NEWNAN, GA
| Name | Credential | NPI |
|---|---|---|
| ISMAILU O AGBAJE | PHD MD | 1336190776 |
| DR. DEREK S SCOTT I | M.D. | 1740377100 |
| MICHAEL ANDREW MCHENRY | M.D. | 1487730628 |
| LINDSEY BAER CHILDS | MD | 1437735560 |
| JINKY ESTABAYA | PHYSICAL THERAPIST | 1679244065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.