Individual provider Active NPI

Byron Lagary Carter, D.A., NP-C

  • Adult Health Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1790183523
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN187228 Issued in GA
Practice address
205 Woodrow Wilson Dr
Valdosta, GA 31602-2538
Phone
(229) 245-0020
NPI assigned
Dec 10, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN187228 GA Primary
Gerontology Nurse Practitioner 363LG0600X RN187228 GA

Addresses

Primary practice location

205 Woodrow Wilson Dr
Valdosta, GA 31602-2538

Mailing address

3858 Turner Rd
Valdosta, GA 31601-2153
Phone (229) 834-7738

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN187228GAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1790183523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 TURNER RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316012153",
            "telephone_number": "229-834-7738",
            "fax_number": "229-333-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022538",
            "telephone_number": "229-245-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BYRON",
        "middle_name": "LAGARY",
        "name_prefix": "Dr.",
        "credential": "D.A., NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN187228",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN187228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.