Active NPI
Robert Louis Carter II, RN, PNP
- Pediatric Nurse Practitioner
- Fort Moore, GA
National Provider Identifier
1154623320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4387
- Practice address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905 - Phone
- (762) 408-2350
- NPI assigned
- Nov 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4387 | SC | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Moore, GA 31905
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 31905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4387 | SC | MD | Pulmonary Rehabilitation Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1154623320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "31905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "31905",
"telephone_number": "762-408-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "RN, PNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-22",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "4387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.