Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM JESSUP CARROLL, MD
ActiveDR. WILLIAM JESSUP CARROLL, MD is a Sports Medicine (Emergency) healthcare provider located in LOGANVILLE, Georgia. NPI 1891130829 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · LOGANVILLE, GA
Registration Details
- NPI Number
- 1891130829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2013 (13.320293361127 yrs)
- Last Updated
- Oct 27, 2025
- Licenses
-
91276 (GA)91276 (GA)
Practice Information
- Address
-
3535 HIGHWAY 81LOGANVILLE, GA, 300524336Browse GA providers · Browse ZIP 30052
- Phone
- 7705208303
- Fax
- 4785008205
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Ophthalmology
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.