Individual provider Active NPI

Ted Alan Carter, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1639152515
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
049486 Issued in GA
Practice address
2525 Cumberland Parkway
KP Cumberland Medical Center
Atlanta, GA 30339
Phone
(770) 434-2008
Fax
(770) 431-4388
NPI assigned
Nov 23, 2005
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49486 GA
Family Medicine Physician 207Q00000X 24100 AL
Family Medicine Physician 207Q00000X 43902 CO
Family Medicine Physician 207Q00000X 049486 GA Primary

Addresses

Primary practice location

2525 Cumberland Parkway
KP Cumberland Medical Center
Atlanta, GA 30339

Mailing address

3495 Piedmont Rd NE
Nine Piedmont Center
Atlanta, GA 30305-1736
Phone (404) 364-7000

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24100ALMDFamily Medicine Physician
43902COMDFamily Medicine Physician
049486GAMDFamily Medicine Physician
49486GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' Immediate Med Family Medicine Current Accepting new patients
Physicians Immediate Med of Peachtree Corners, P.C. Family Medicine Current Accepting new patients
Physicians Immediate Med of Cobb, P.C. Family Medicine Current Accepting new patients
The Southeast Permanente Medical Group Family Medicine Past Accepting new patients
Randolph Health Systems, LLC Past Accepting new patients

Locations

10905 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (770) 343-9898

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1639152515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "address_2": "NINE PIEDMONT CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051736",
            "telephone_number": "404-364-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CUMBERLAND PARKWAY",
            "address_2": "KP CUMBERLAND MEDICAL CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-434-2008",
            "fax_number": "770-431-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TED",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "49486",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "24100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43902",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.