Active NPI
Marcus Gerard Carter
- Professional Counselor
- Douglasville, GA
National Provider Identifier
1225600356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC001707
- Practice address
- 8335A Office Park Dr
Douglasville, GA 30134-6937 - Phone
- (678) 324-0476
- NPI assigned
- Jul 16, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC001707 | GA | Primary |
Addresses
Primary practice location
8335A Office Park Dr
Douglasville, GA 30134-6937
Mailing address
345 Lawrence PL
Atlanta, GA 30349-1069
Phone (404) 550-3082
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC001707 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Unlimited LLC | Current | Accepting new patients |
Locations
8335 Office Park Dr
#A
Douglasville, GA 30134
Phone (678) 324-0476
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Douglasville, GA
- NPI 1427434554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1225600356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 LAWRENCE PL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491069",
"telephone_number": "404-550-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8335A OFFICE PARK DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346937",
"telephone_number": "678-324-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MARCUS",
"middle_name": "GERARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC001707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.