Individual provider Active NPI

Kelvin Ernest-Allen Carter, PT, DPT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1437568300
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011542 Issued in GA
Practice address
2097 N Decatur Rd
Decatur, GA 30033-5305
Phone
(404) 634-7171
Fax
(404) 634-7176
NPI assigned
Aug 5, 2014
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011542 GA Primary

Addresses

Primary practice location

2097 N Decatur Rd
Decatur, GA 30033-5305

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404000081 GA Practitioner - Physical Therapist in Private Practice 7315244589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onepoint Physical Therapy, Inc.Group PAC ID 6406141431, 12 clinicians

Practice addresses (Care Compare)

867 Greenwood Ave NE
Atlanta, GA 30306-3722
Phone (404) 600-4627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011542GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Onepoint Physical Therapy, Inc. Physical Therapist CurrentSince May 7, 2019 Accepting new patients
Advanced Rehabilitation, Inc. PastSince May 30, 2025 Accepting new patients

Locations

1328 DeKalb Ave NE
Atlanta, GA 30307
Phone (404) 222-9998

1328 DeKalb Ave NE
Ste 1
Atlanta, GA 30307
Phone (404) 600-4627

1579 Monroe Dr NE
Ste 819
Atlanta, GA 30324

867 Greenwood Ave NE
Atlanta, GA 30306
Phone (404) 600-4627

Organizations & group practices 2

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1437568300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335305",
            "telephone_number": "404-634-7171",
            "fax_number": "404-634-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KELVIN",
        "middle_name": "ERNEST-ALLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.