J. Edwyn Carter, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

037971 Issued in GA

Practice address

189 Jefferson Pkwy
Newnan, GA 30263-5823

Phone

(770) 304-2220

Fax

(770) 304-2622

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Piedmont Pediatric Physicians LLC

  • Pediatrics Physician
  • Newnan, GA
  • NPI 1447315742
  Medicare reassignment NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1770566952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 JEFFERSON PKWY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635823",
            "telephone_number": "770-304-2220",
            "fax_number": "770-304-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 JEFFERSON PKWY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635823",
            "telephone_number": "770-304-2220",
            "fax_number": "770-304-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "J.",
        "middle_name": "EDWYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "037971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00606581A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffeny S. Carroll, M.D.
• Malcolm Carson, MD
• Nancy M Carson, DDS
• Aaliyah Carter, RBT
• Franchon Renee Carter, PA-C
• Brian Everett Caruthers, MD
• Kelly Dale Cashion, M.A., LPC, NCC
• Marie Judith Cauvin, M.D.
• Sheila Renee Caverly-Gillett, LPC
• Center for Learning & Cultivation (CLC Behavioral Health)

• Pediatrics Physician in Newnan, GA
• Providers in Newnan, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.