Active NPI
Otha Burnett Carter Jr., M.D.
- Surgery Physician
- Albany, GA
National Provider Identifier
1265419352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11848
- Practice address
- 425 W 3Rd Ave
Suite 400
Albany, GA 31701-1941 - Phone
- (229) 883-6311
- Fax
- (229) 883-6315
- NPI assigned
- Dec 29, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11848 | GA | Primary |
Addresses
Primary practice location
425 W 3Rd Ave
Suite 400
Albany, GA 31701-1941
Mailing address
425 W 3Rd Ave
Suite 400
Albany, GA 31701-1941
Phone (229) 883-6311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008709B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 26, 2016 through May 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11848 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Albany PC | Surgery | Past | Accepting new patients |
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.
-
- Surgery Physician
- Albany, GA
- NPI 1447284781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265419352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W 3RD AVE",
"address_2": "SUITE 400",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011941",
"telephone_number": "229-883-6311",
"fax_number": "229-883-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 3RD AVE",
"address_2": "SUITE 400",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011941",
"telephone_number": "229-883-6311",
"fax_number": "229-883-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "OTHA",
"middle_name": "BURNETT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "11848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008709B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.