Individual provider Active NPI

Arisje Brianna Carter, M.ED., CF-SLP

  • Speech-Language Pathologist
  • Valdosta, GA
National Provider Identifier
1093483349
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET003461 Issued in GA
Practice address
2301 Bemiss Rd
Valdosta, GA 31602-1934
Phone
(229) 244-1667
Fax
(229) 244-8253
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PCET003461 GA Primary

Addresses

Primary practice location

2301 Bemiss Rd
Valdosta, GA 31602-1934

Mailing address

2301 Bemiss Rd
Valdosta, GA 31602-1934
Phone (229) 244-1667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104002201 GA Practitioner - Qualified Speech Language Pathologist 3678962065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azalea Rehab Services, LLCGroup PAC ID 2365608692, 3 clinicians

Practice addresses (Care Compare)

2301 Bemiss Raod
Valdosta, GA 31602-1934

2301 Bemiss Rd
Valdosta, GA 31602-1934
Phone (229) 244-1667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PCET003461GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Rehab Services, LLC Speech-Language Pathologist CurrentSince Sep 1, 2021 Accepting new patients
Choice Family Medicine, PC PastSince Sep 5, 2021 Accepting new patients

Locations

2301 Bemiss Rd
Valdosta, GA 31602
Phone (229) 244-1667

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1093483349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021934",
            "telephone_number": "229-244-1667",
            "fax_number": "229-244-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021934",
            "telephone_number": "229-244-1667",
            "fax_number": "229-244-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ARISJE",
        "middle_name": "BRIANNA",
        "credential": "M.ED., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.