Individual provider Active NPI

William Alexander Carter, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grovetown, GA
National Provider Identifier
1487140521
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD305031 Issued in GA
Practice address
202 Insperon Dr Ste 202
Grovetown, GA 30813-0602
Phone
(706) 257-0258
Fax
(706) 597-1998
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002756 MI
Podiatrist 213E00000X 80240 MS
Foot & Ankle Surgery Podiatrist 213ES0103X POD305031 GA Primary

Addresses

Primary practice location

202 Insperon Dr Ste 202
Grovetown, GA 30813-0602

Mailing address

6350 Lake Oconee Pkwy Ste 110
Greensboro, GA 30642-6490
Phone (706) 257-0257

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331002617 GA Practitioner - Podiatry 4385035823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
26 Medical, LLCGroup PAC ID 0244500619, 6 clinicians

Practice addresses (Care Compare)

4434 Columbia Rd
Suite 106
Martinez, GA 30907-4563
Phone 7062570257204

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions13
Removal of nail tissue268
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002756MIMDPodiatrist
80240MSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
26 Medical, LLC Podiatrist CurrentSince Jan 2, 2025 Accepting new patients
Da Vinci Foot and Ankle LLC Podiatrist Past Accepting new patients

Locations

6350 Lake Oconee Pkwy
Ste 110
Greensboro, GA 30642

202 Insperon Dr
Ste 202
Grovetown, GA 30813
Phone (706) 257-0257

4434 Columbia Rd
Ste 106
Martinez, GA 30907
Phone 7062570257204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1487140521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LAKE OCONEE PKWY STE 110",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306426490",
            "telephone_number": "706-257-0257",
            "fax_number": "706-597-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 INSPERON DR STE 202",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130602",
            "telephone_number": "706-257-0258",
            "fax_number": "706-597-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002756",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80240",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD305031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

Verify at the official NPI Registry.