Carolyn Yvonne Singleton-Russell, CSFA/BSHA/HM

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

111678 Issued in GA

Practice address

1514 East Cleveland Avenue
Suite 117
East Point, GA 30344

Phone

(770) 715-4651

Fax

(770) 985-4258

NPI assigned

Aug 23, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Carolyn Yvonne Singleton-Grant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1083994974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 172",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-787-5912",
            "fax_number": "770-985-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 EAST CLEVELAND AVENUE",
            "address_2": "SUITE 117",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "770-715-4651",
            "fax_number": "770-985-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON-RUSSELL",
        "first_name": "CAROLYN",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "CSFA/BSHA/HM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "111678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "SINGLETON-GRANT",
            "middle_name": "YVONNE",
            "prefix": "MRS.",
            "credential": "CSFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caleb Simmons, DDS
• Tyler Simmons, REGISTERED BEHAVIOR
• Sultan Jabari Simms, M.D.
• Josette M. Simpson, CRNA
• Neetu Singh, M.D.
• Nichole Christiana Sloan, MSW, LCSW
• Daiysha Smith
• Davaughan Smith
• Valerie Smith, DDS
• Sobek, LLC

• Surgery Physician in East Point, GA
• Providers in East Point, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.