Carmeletha Ford

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

105 Coosa Pines Dr Ste 5
Childersburg, AL 35044-1303

Phone

(256) 346-1920

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Atia Healthcare Professionals

  • In Home Supportive Care Agency
  • Childersburg, AL
  • NPI 1659018000
  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1801545017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COOSA PINES DR STE 5",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441303",
            "telephone_number": "256-346-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COOSA PINES DR STE 5",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441303",
            "telephone_number": "256-346-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CARMELETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcombs@atiainc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "105 Coosa Pines Dr Ste 5",
            "city": "Childersburg",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350441303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cc@atiainc.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "105 Coosa Pines Dr Ste 5",
            "city": "Childersburg",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350441303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diabetic and Wound Care Management Services LLC
• Carol Dotson, PT
• Thomas Arthur Douyard, D.M.D.
• Daniel Edwards, DPT
• Molly Andrews Ellis, M.D.
• Freds Stores of Tennessee Inc
• Jerica Lashay Gibson, DO
• Hands of Love
• Hands of Love
• Nancy Coleana Hill, FNP-BC

• Attendant Care Provider in Childersburg, AL
• Providers in Childersburg, AL by specialty
• Attendant Care Provider in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.