Active NPI
Michael Grady Cartmell
- Behavior Technician
- Alpharetta, GA
National Provider Identifier
1558029777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-194950
- Practice address
- 4080 McGinnis Ferry Rd
Alpharetta, GA 30005-3948 - Phone
- (877) 288-4760
- NPI assigned
- Dec 5, 2021
- Last updated
- Dec 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-194950 | GA | Primary |
Addresses
Primary practice location
4080 McGinnis Ferry Rd
Alpharetta, GA 30005-3948
Mailing address
1175 Roswell Manor Cir
Roswell, GA 30076-2105
Phone (470) 774-3303
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-194950 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638662400000",
"number": "1558029777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 ROSWELL MANOR CIR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762105",
"telephone_number": "470-774-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 MCGINNIS FERRY RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053948",
"telephone_number": "877-288-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTMELL",
"first_name": "MICHAEL",
"middle_name": "GRADY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-05",
"last_updated": "2021-12-05",
"certification_date": "2021-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-21-194950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.