Individual provider Active NPI

Niles Edemeka Carter, MD

  • Obstetrics & Gynecology Physician
  • Port Royal, SC
National Provider Identifier
1184945925
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01079362A Issued in IN
Practice address
1320 S. Ribaut Rd
Port Royal, SC 29936
Phone
(843) 322-1800
Fax
(843) 986-0229
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01079362A IN Primary
Obstetrics & Gynecology Physician 207V00000X 37500 SC

Addresses

Primary practice location

1320 S. Ribaut Rd
Port Royal, SC 29936

Mailing address

395 Westfield Rd
Noblesville, IN 46060-1434
Phone (317) 773-0760

Other practice location 1

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 338-7136

Other practice location 2

12 St Paul Dr Ste 207
Chambersburg, PA 17201-1035
Phone (717) 217-6882

Other practice location 3

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6882

Other practice location 4

13000 E 136TH St
Fishers, IN 46037-9478
Phone (317) 329-7022

Other practice location 5

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 765-5086

Other practice location 6

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5086

Other practice location 7

214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6125

Other practice location 8

120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6882

Other practice location 9

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 918-3400

Other practice location 10

1320 S. Ribaut Rd
Port Royal, SC 29936
Phone (843) 322-1800 ext. 1804

Other practice location 11

395 Westfield Rd
Suite B
Noblesville, IN 46060-1425
Phone (317) 776-9400

Other identifiers 2

IdentifierTypeStateIssuer
300007706MedicaidIN
375007MedicaidSC

Other names 1

  • Dr. Niles Edemeka Ita Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ncarter@direct.iuhealth.org Direct
Direct Messaging Address ncarter@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208001943 IN Practitioner - Obstetrics/Gynecology 8224352323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jane Pauley Community Health Center IncGroup PAC ID 7618152729, 77 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1210 Medical Arts Blvd
Anderson, IN 46011-3439
Phone (765) 563-2843

13000 E 136TH St
Fishers, IN 46037-9478
Phone (317) 678-2000

1503 N Mitthoefer Rd
Indianapolis, IN 46229-2425

153 N Mitthoefer Rd
Indianapolis, IN 46229-2425

8931 E 30TH St
Indianapolis, IN 46219-1501
Phone (463) 232-7183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01079362AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Sep 15, 2025 Accepting new patients
St. Vincent Medical Group, Inc. Obstetrics & Gynecology CurrentSince Oct 27, 2025 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Obstetrics & Gynecology CurrentSince Sep 15, 2025 Accepting new patients

Locations

1210 Medical Arts Blvd
Ste 300
Anderson, IN 46011
Phone (765) 298-4550

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

13000 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

395 Westfield Rd
Ste B
Noblesville, IN 46060
Phone (317) 770-6085

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1184945925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 WESTFIELD RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601434",
            "telephone_number": "317-773-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S. RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-322-1800",
            "fax_number": "843-986-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13861 OLIO RD",
            "address_purpose": "LOCATION",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373487",
            "country_code": "US",
            "telephone_number": "317-338-7136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13000 E 136TH St",
            "address_purpose": "LOCATION",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379478",
            "country_code": "US",
            "telephone_number": "317-329-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-6125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 E Discovery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089059",
            "country_code": "US",
            "telephone_number": "812-918-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 S. Ribaut Rd",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "29936",
            "country_code": "US",
            "telephone_number": "843-322-1800 x1804",
            "fax_number": "843-986-0229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Westfield Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601425",
            "country_code": "US",
            "telephone_number": "317-776-9400",
            "fax_number": "317-776-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "NILES",
        "middle_name": "EDEMEKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01079362A",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "37500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007706",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375007",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncarter@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13000 E 136TH St",
            "city": "FISHERS",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncarter@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NILES",
            "last_name": "ITA",
            "middle_name": "EDEMEKA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.