Active NPI
Richard O. Carpenter, M.D., P.C.
- Psychiatry Physician
- Roswell, GA
National Provider Identifier
1396980249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 037165
- Legal business name
- RICHARD O. CARPENTER, M.D., P.C.
- Practice address
- 14 Norcross St
Roswell, GA 30075-3810 - Phone
- (800) 843-8216
- Fax
- (770) 650-2668
- NPI assigned
- Dec 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Owen Carpenter, M.D.
- Title
- President
- Phone
- (800) 843-8216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 037165 | GA | Primary |
Addresses
Primary practice location
14 Norcross St
Roswell, GA 30075-3810
Mailing address
5450 Errol PL NW
Atlanta, GA 30327-4869
Phone (800) 843-8216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000557884B | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Roswell, GA
- NPI 1366584856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228521600000",
"number": "1396980249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 ERROL PL NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303274869",
"telephone_number": "800-843-8216",
"fax_number": "770-650-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 NORCROSS ST",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753810",
"telephone_number": "800-843-8216",
"fax_number": "770-650-2668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD O. CARPENTER, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-06",
"last_updated": "2008-12-06",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "OWEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-843-8216",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "037165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000557884B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.