Carson Jennings, DO
Family Medicine in Hamburg, NY. Individual provider (NPI-1).
NPI number1346942893
StatusActive
Last updated in NPPESJul 10, 2026
Details
- NPI
- 1346942893
- Entity type
- Individual (NPI-1)
- Name
- Carson Jennings
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Jul 10, 2026
- Last updated
- Jul 10, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 341623 | NY | Yes |
Practice location
4855 Camp Rd Ste 100Hamburg, NY 14075-2600
Phone 716-646-1084
Mailing address
4855 Camp Rd Ste 100Hamburg, NY 14075-2600
Phone 716-646-1084 · Fax 716-646-0763
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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