Active NPI
Fillise Carter, MT
- Reflexologist
- Columbus, GA
National Provider Identifier
1831462654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MT0094450
- Practice address
- 2020 7TH Ave
Columbus, GA 31904-8914 - Phone
- (706) 323-1873
- Fax
- (706) 321-0436
- NPI assigned
- Feb 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MT0094450 | AL | Primary |
Addresses
Primary practice location
2020 7TH Ave
Columbus, GA 31904-8914
Mailing address
4201 Brandywine Dr
Phenix City, AL 36869-2612
Phone (706) 393-6790
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)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0094450 | AL | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1831462654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 BRANDYWINE DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368692612",
"telephone_number": "706-393-6790",
"fax_number": "706-321-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 7TH AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048914",
"telephone_number": "706-323-1873",
"fax_number": "706-321-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "FILLISE",
"name_prefix": "Mrs.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-10",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "AL",
"license": "MT0094450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.