Kelli M Carter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

041529 Issued in GA

Practice address

1113 Washington Rd
Thomson, GA 30824-7523

Phone

(706) 595-7825

Fax

(706) 595-1235

NPI assigned

Aug 1, 2005

Last updated

May 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelli M Carter MD LLC

  dba Family First Healthcare Associates

  • Family Medicine Physician
  • Thomson, GA
  • NPI 1144402652
  Authorized official Same address or phone
• Tri-County Health System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Crawfordville, GA
  • NPI 1124294434
  NPD (past)
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1285634212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-922-6300",
            "fax_number": "706-922-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308247523",
            "telephone_number": "706-595-7825",
            "fax_number": "706-595-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KELLI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "041529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000716757F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000716757N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant and London LLC (Barney's Pharmacy)
• Burke Hospital Company (Southeastern Spine and Pain)
• Stephanie Theresa Burnett, NP-C
• James Louis Capps III, PT
• Caring Matters Home Care (Royal Home Care Enterprises, LLC)
• Frank Gordon Castagna, D.C.
• Khushdeep Singh Chahal, M.D
• John Cherni, D.C.
• Rachel R Coleman
• Dwayne J Colson, LPC

• Family Medicine Physician in Thomson, GA
• Providers in Thomson, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.