Jeanine Carson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

311 White Ingram Pkwy
Dallas, GA 30132-0969

Phone

(678) 363-7447

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jeanine Hinton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Georgia CTC, LLC

  • Methadone Clinic
  • Dallas, GA
  • NPI 1407582042
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1184408312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 RIDGE WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WHITE INGRAM PKWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320969",
            "telephone_number": "678-363-7447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 Ling Dr",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301685849",
            "country_code": "US",
            "telephone_number": "470-865-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JEANINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "01787",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "HINTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caring Hearts Psychiatry Inc
• Carlos E. Pessoa, OD, LLC
• Carlos E. Pessoa, OD, LLC
• Rebecca Abigail Carroll, DCLS
• Tanisha Nicole Kini Carroll
• Carter Morgan Speech & Language Therapy Services
• Tracy Carter-Morgan, M.A., CCC-SLP
• Lauren Kelshaw Carter, OTR/L
• Alexa Mary Casares, MS, OTR/L, ASDCS
• Lasundra Caslin

• Addiction (Substance Use Disorder) Counselor in Dallas, GA
• Providers in Dallas, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.