Individual provider Active NPI

Carter Hughes, ATC

  • Athletic Trainer
  • Atlanta, GA
National Provider Identifier
1336617323
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT003569 Issued in GA
Practice address
5505 Roswell Rd
Atlanta, GA 30342-1985
Phone
(404) 480-9330
Fax
(404) 480-4233
NPI assigned
Nov 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT767 AR
Athletic Trainer 2255A2300X AT003569 GA Primary

Addresses

Primary practice location

5505 Roswell Rd
Atlanta, GA 30342-1985

Mailing address

4018 Bent Willow LN
Woodstock, GA 30189-1513
Phone (404) 368-6905

Other practice location 1

1630 Highway 91 W
Jonesboro, AR 72404-9284
Phone (404) 368-6905

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

LicenseStateTypeSpecialty
AT767ARMDAthletic Trainer
AT003569GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1336617323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 BENT WILLOW LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301891513",
            "telephone_number": "404-368-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421985",
            "telephone_number": "404-480-9330",
            "fax_number": "404-480-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Highway 91 W",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724049284",
            "country_code": "US",
            "telephone_number": "404-368-6905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "CARTER",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-07",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT767",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.