Individual provider Active NPI

Carson Williams Gleaton, PHARMD

  • Pharmacist
  • Thomaston, GA
National Provider Identifier
1447576277
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020852 Issued in GA
Practice address
500 W Gordon St
Thomaston, GA 30286-3415
Phone
(706) 647-8965
Fax
(706) 647-4529
NPI assigned
Apr 19, 2010
Last updated
Apr 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 020852 GA Primary

Addresses

Primary practice location

500 W Gordon St
Thomaston, GA 30286-3415

Mailing address

500 W Gordon St
Thomaston, GA 30286-3415
Phone (706) 647-8965

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
020852GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CWG Investments Current Accepting new patients
Red Clay Ventures, LLC Past Accepting new patients

Locations

500 W Gordon St
Thomaston, GA 30286
Phone (706) 647-8965

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1447576277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863415",
            "telephone_number": "706-647-8965",
            "fax_number": "706-647-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863415",
            "telephone_number": "706-647-8965",
            "fax_number": "706-647-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEATON",
        "first_name": "CARSON",
        "middle_name": "WILLIAMS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "020852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.