Marilyn Y. Carter, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

037166 Issued in GA

Practice address

902 N 7TH St
Cordele, GA 31015-3234

Phone

(229) 276-3100

Fax

(229) 271-4654

NPI assigned

Sep 16, 2006

Last updated

Jan 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: marilyn.carter@crispregional.gadirect.net

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.

• Georgia Clinic, PC

  • Multi-Specialty Clinic/Center
  • Dunwoody, GA
  • NPI 1609816123
  NPD (past)
• Park Central Family Practice, Inc.

  • Family Medicine Physician
  • Decatur, GA
  • NPI 1922104306
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1578669602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310105007",
            "telephone_number": "229-276-3100",
            "fax_number": "229-271-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153234",
            "telephone_number": "229-276-3100",
            "fax_number": "229-271-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MARILYN",
        "middle_name": "Y.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "037166",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "037166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000604139F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000604139A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G37166",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Careconnect Health, Inc. (CareConnect Family Medicine)
• Careconnect Health, Inc. (CareConnect Family Practice)
• Careconnect Health, Inc. (New Hope Clinic)
• Careconnect Health, Inc. (CareConnect Clinic)
• Linda Carter, PH.D.
• Kameron McKinley Causey, DPT
• Darryl Antoinia Chapman Sr.
• Deborah J Charles, MD
• Lynn M Chavarria, RN,MSN
• Choice Select Home Care

• Internal Medicine Physician in Cordele, GA
• Providers in Cordele, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.