Active NPI
Craig D. Carter, D.C.
- Rehabilitation Chiropractor
- Avondale Estates, GA
National Provider Identifier
1720113665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2586
- Practice address
- 118 N Avondale Rd
Avondale Estates, GA 30002-1325 - Phone
- (404) 499-0005
- Fax
- (404) 499-0006
- NPI assigned
- Feb 22, 2007
- Last updated
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2586 | GA | |
| Rehabilitation Chiropractor | 111NR0400X | 2586 | GA | Primary |
Addresses
Primary practice location
118 N Avondale Rd
Avondale Estates, GA 30002-1325
Mailing address
PO Box 354
Decatur, GA 30031-0354
Phone (404) 499-0005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2586 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allwell Physicians | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Decatur, GA
- NPI 1649574567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1720113665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 354",
"city": "DECATUR",
"state": "GA",
"postal_code": "300310354",
"telephone_number": "404-499-0005",
"fax_number": "404-499-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N AVONDALE RD",
"city": "AVONDALE ESTATES",
"state": "GA",
"postal_code": "300021325",
"telephone_number": "404-499-0005",
"fax_number": "404-499-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CRAIG",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "2586",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "2586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale Estates, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.