George Emmitt Carter III, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

797 Issued in SC

Practice address

10630 Clemson Blvd
Ste 100
Seneca, SC 29678-4546

Phone

(864) 482-6000

NPI assigned

Mar 24, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Blue Ridge Orthopaedic Assoc PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Seneca, SC
  • NPI 1033141502
  NPD
• Centralina Orthopaedic and Sports Medicine

  • Specialist
  • Salisbury, NC
  • NPI 1225073430
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1811957988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 N CRESTVIEW DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 CLEMSON BLVD",
            "address_2": "STE 100",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784546",
            "telephone_number": "864-482-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GEORGE",
        "middle_name": "EMMITT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970029181",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Kids Pediatrics, P.a.
• Carolina Lung & Sleep Center LLC
• Carolina Neurology LLC
• Carolina Surgery, PA
• Sharon Lakeisha Carswell-Ector, PTA
• Wendy Llew Carter, RPH
• Hannah Genevieve Carvel, OTD, OTR/L
• Dolly S Carver, LPN
• Rebecca Jennifer Castro
• Centerwell Senior Primary Care (SC) PC

• Surgical Physician Assistant in Seneca, SC
• Providers in Seneca, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.