Individual provider Active NPI

Louis Guy Chelton III, M.D.

  • General Practice Physician
  • Lawrenceville, GA
National Provider Identifier
1184089831
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
019924 Issued in GA
Practice address
80 Rivershyre Cir
Lawrenceville, GA 30043-6436
Phone
(770) 513-4828
NPI assigned
Dec 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 019924 GA Primary

Addresses

Primary practice location

80 Rivershyre Cir
Lawrenceville, GA 30043-6436

Mailing address

80 Rivershyre Cir
Lawrenceville, GA 30043-6436
Phone (770) 513-4828

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019924GAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1184089831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RIVERSHYRE CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436436",
            "telephone_number": "770-513-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RIVERSHYRE CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436436",
            "telephone_number": "770-513-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELTON",
        "first_name": "LOUIS",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "019924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.