Individual provider Active NPI

Charnetta T Colton, MD

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1376720466
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
002176 Issued in GA
Practice address
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032
Phone
(404) 778-1415
NPI assigned
Jan 30, 2008
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 002176 GA Primary

Addresses

Primary practice location

35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032

Mailing address

2052 Dewberry LN
East Point, GA 30344-1136
Phone (404) 767-7832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20181108002757 GA Practitioner - Pediatric Medicine 8527312685 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002176GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Georgia PC CurrentSince Oct 1, 2019 Accepting new patients
Hospital Authority of Washington County Past Accepting new patients
Hospital Authority of Washington County Pediatrics Past Accepting new patients

Locations

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1376720466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 DEWBERRY LN",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303441136",
            "telephone_number": "404-767-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033032",
            "telephone_number": "404-778-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTON",
        "first_name": "CHARNETTA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "002176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.