Individual provider Active NPI

Charlotte Carmel Sylvester, PT, DPT, ATC, LAT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1619544509
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015910 Issued in GA
Practice address
2498 Joiner CT
Decatur, GA 30033-4912
Phone
(954) 592-3324
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT003655 GA
Physical Therapist 225100000X PT015910 GA Primary

Addresses

Primary practice location

2498 Joiner CT
Decatur, GA 30033-4912

Mailing address

2498 Joiner CT
Decatur, GA 30033-4912
Phone (954) 592-3324

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT003655GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
The Corporation of Mercer University Current Accepting new patients

Locations

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

1550 College St
Macon, GA 31207
Phone (478) 301-2600

Organizations & group practices 1

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1619544509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 JOINER CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334912",
            "telephone_number": "954-592-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 JOINER CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334912",
            "telephone_number": "954-592-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "CHARLOTTE",
        "middle_name": "CARMEL",
        "credential": "PT,  DPT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003655",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.