Michael P Carter, MD
Individual provider Active NPI Diagnostic Radiology Physician · Springfield, GA
NPI 1437149200 · NPPES record last updated Nov 14, 2007
Key facts
- NPI
- 1437149200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 017014 (GA)
- Practice address
- 459 Hwy 119 S
Springfield, GA 31329-3021 - Phone
- (912) 754-6451
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017014 | GA | MD | Pharmacist |
| 17014 | GA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Isles Vein Institute PC | Past | Accepting new patients | |
| Radiology Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 017014 | GA | Yes |
Addresses
Primary practice location
459 Hwy 119 S
Springfield, GA 31329-3021
Mailing address
PO Box 14416
Savannah, GA 31416-1416
Phone (912) 355-8188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00179825A | Medicaid | GA | |
| 705348818A | Medicaid | GA | |
| 007211 | Other | GA | BCBS |
| 705348818B | Medicaid | GA |
Other providers in Springfield, GA
- Alice Benenhaley
- John Bennett
- Bloom Within Counseling
- Burke Hospital Company
- Careplus Urgent Care, LLC
- Chatham Orthopaedic Associates, PA
- Latronda Coble
- Stacie Colello
- Curtis V. Cooper Primary Health Care Inc.
- Ashley Kessler Dasher
All providers in Springfield, GA · Diagnostic Radiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.