Carter Pediatric Therapy Services,LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007428 Issued in GA

Legal business name

CARTER PEDIATRIC THERAPY SERVICES,LLC

Practice address

5097 Planters Xing
Hahira, GA 31632-2626

Phone

(478) 747-8531

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Jane Carter, MED, CCC-SLP

Title

Owner/Speech Therapist

Phone

(478) 747-8531

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1730579574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 PLANTERS XING",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322626",
            "telephone_number": "478-747-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 PLANTERS XING",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322626",
            "telephone_number": "478-747-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER PEDIATRIC THERAPY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/SPEECH THERAPIST",
        "authorized_official_telephone_number": "478-747-8531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104274C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Hahira, GA
• Providers in Hahira, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.