Individual provider Active NPI

Chaltsy Carlton, D.O.

  • Diagnostic Radiology Physician
  • Evans, GA
National Provider Identifier
1508094673
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
074129 Issued in GA
Practice address
4350 Towne Centre Dr
Suite 1000
Evans, GA 30809-3301
Phone
(706) 868-3940
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 074129 GA Primary

Addresses

Primary practice location

4350 Towne Centre Dr
Suite 1000
Evans, GA 30809-3301

Mailing address

1125 Troupe St
Augusta, GA 30904-4480
Phone (706) 737-4275

Other identifiers 1

IdentifierTypeStateIssuer
003162532AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150901000564 GA Practitioner - Diagnostic Radiology 4688814411 Reassigns benefits to 4 organizations
I20250423003764 SC Practitioner - Diagnostic Radiology 4688814411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia Col of Osteo Med, Sewanee, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Stephen W Brown and Radiology Associates of Augusta LLPGroup PAC ID 0244293322, 19 clinicians

Practice addresses (Care Compare)

Augusta, GA 30909
Phone (425) 563-1500

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5035

2460 Washington Rd
Thomson, GA 30824-6600
Phone (706) 597-5239

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 644-1357

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

818 Saint Sebastian Way
Suite 100
Augusta, GA 30901-2652
Phone (706) 722-3574

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Mar 18, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Sep 30, 2022 Accepting new patients
Au Health Imaging, LLC Diagnostic Radiology CurrentSince Sep 30, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 18, 2024 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 27, 2025 Accepting new patients
Stephen W. Brown and Radiology Associates of Augusta LLP Diagnostic Radiology CurrentSince Sep 1, 2015 Accepting new patients
Evans Imaging, LLC CurrentSince Aug 10, 2015 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Au Medical Associates Inc CurrentSince Sep 30, 2022 Accepting new patients

Locations

3624 J Dewey Gray Cir
Ste 100
Augusta, GA 30909
Phone (706) 561-6501

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

818 Saint Sebastian Way
Ste 100
Augusta, GA 30901
Phone (706) 722-3574

1125 Troupe St
Augusta, GA 30904
Phone (706) 738-7977

3610 Wheeler Rd
Augusta, GA 30909
Phone (706) 210-9500

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

4350 Towne Centre Dr
Evans, GA 30809
Phone (706) 724-4400

4350 Towne Centre Dr
Ste 1000
Evans, GA 30809
Phone (706) 868-3940

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

430 Society Hill Dr
Aiken, SC 29803
Phone (803) 502-5020

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1508094673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TROUPE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044480",
            "telephone_number": "706-737-4275",
            "fax_number": "706-731-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR",
            "address_2": "SUITE 1000",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093301",
            "telephone_number": "706-868-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "CHALTSY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "074129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003162532A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.