Gabriel Shannon Carter

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

13 Hunters VW
Euharlee, GA 30145-2834

Phone

(706) 728-5394

NPI assigned

Oct 7, 2021

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2024.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1790447647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HUNTERS VW",
            "city": "EUHARLEE",
            "state": "GA",
            "postal_code": "301452834",
            "telephone_number": "706-728-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HUNTERS VW",
            "city": "EUHARLEE",
            "state": "GA",
            "postal_code": "301452834",
            "telephone_number": "706-728-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GABRIEL",
        "middle_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vedra Lorraine Cummings
• Daniel Dentistry of Euharlee
• Hugh Burch Fannin, RPH
• Highland Rivers Community Service Board
• Robin Marie Lane

• All providers in Euharlee, GA
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.