P Praxis·MD
● Active Type 1 · Individual

DR. Travis Rod Carroll, M.D.

Pediatrics·Dalton, GA· NPI 1114137551 · Enumerated 2007 · 19 years on NPI
Carroll is 1 of 3 pediatrics providers in Dalton and 1 of 187 in Georgia.
NPI age
19 years
Enumerated 2007-05-23
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-01-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 187 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 80% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
1200 Memorial Dr
Dalton, GA 307202529
📞 7062641897
Mailing address
Po Box 2645
Dalton, GA 307222645
📞 7062641897

Specialties

  • Pediatrics Primary
    A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
    GA license #074111TX license #N5608 taxonomy 2080N0001X

Identifiers

TypeValueNotes
05 (GA) 003161386A
05 (TX) 213538601
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 153 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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