Keaton Carter
Individual provider Active NPI Athletic Trainer · Wingate, NC
NPI 1093630352 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1093630352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- LAT-6392 (NC)
- Practice address
- 2829 Bobwhite Cir Unit a
Wingate, NC 28174-9676 - Phone
- (479) 530-9625
- NPI assigned
- Aug 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-6392 | NC | Yes |
Addresses
Primary practice location
2829 Bobwhite Cir Unit a
Wingate, NC 28174-9676
Mailing address
2829 Bobwhite Cir Unit a
Wingate, NC 28174-9676
Phone (479) 530-9625
Other providers in Wingate, NC
- Adriane J Brackett
- Olivia Brown
- Ara Caroline Burger
- Danielle Burningham
- Leigh Ann Caldwell
- Brenda Money Cheney
- Eunyeong Choi
- Brandy Perdue Clemmer
- Connecting Futures Inc
- Contour Services, Inc
All providers in Wingate, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.