# DR. CARL W MCCORD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104836022
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101268274 | VA | — |
| 207Q00000X | Family Medicine Physician | 18832 | SC | — |
| 207Q00000X | Family Medicine Physician | 2014-02080 | NC | — |
| 207Q00000X | Family Medicine Physician | 35.14875 | OH | — |
| 207Q00000X | Family Medicine Physician | 60377 | TN | — |
| 207Q00000X | Family Medicine Physician | 75390 | CT | Yes |
| 207Q00000X | Family Medicine Physician | 84643 | GA | — |
| 207Q00000X | Family Medicine Physician | C178106 | CA | — |
| 207Q00000X | Family Medicine Physician | D0089037 | MD | — |
| 207Q00000X | Family Medicine Physician | MD047910 | DC | — |
| 207Q00000X | Family Medicine Physician | ME142535 | FL | — |
| 207Q00000X | Family Medicine Physician | MED-PHYS-LIC-116119 | MT | — |
| 207Q00000X | Family Medicine Physician | T5390 | TX | — |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 12/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 188326 | — | SC |
| 01 | — | L8996 | FL MEDICARE | FL |
