Active NPI
Norman James Eaton, EMT BASIC
- Basic Emergency Medical Technician
- Carrollton, GA
National Provider Identifier
1184484396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- E023887
- Practice address
- 830 Frashier Rd
Carrollton, GA 30116-7928 - Phone
- (312) 995-3609
- NPI assigned
- Mar 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E023887 | GA | Primary |
Addresses
Primary practice location
830 Frashier Rd
Carrollton, GA 30116-7928
Mailing address
830 Frashier Rd
Carrollton, GA 30116-7928
Phone (312) 995-3609
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
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E023887 | GA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1184484396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 FRASHIER RD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301167928",
"telephone_number": "312-995-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 FRASHIER RD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301167928",
"telephone_number": "312-995-3609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "NORMAN",
"middle_name": "JAMES",
"credential": "EMT BASIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "GA",
"license": "E023887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.