Chandra Bivens Carty, R.D.,L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000618 Issued in GA

Practice address

1516 Rock Quarry Rd
Stockbridge, GA 30281-5047

Phone

(770) 389-0836

Fax

(770) 389-0886

NPI assigned

Sep 13, 2006

Last updated

Nov 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Emory University School of Medicine, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1841395068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 BRUSHY NOB LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815243",
            "telephone_number": "770-389-0836",
            "fax_number": "770-389-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815047",
            "telephone_number": "770-389-0836",
            "fax_number": "770-389-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTY",
        "first_name": "CHANDRA",
        "middle_name": "BIVENS",
        "credential": "R.D.,L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000618",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "GA",
            "license": "LD000618",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD000618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691002664A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Randall Carringer, MD
• Deiona Carter, APC
• Keo Carter Sr., MSW
• Michael Levern Carter, MD
• Tracy A Cartledge, FNP
• Ayleen Castillo-Magana, RN
• Naomi Rebecca Cates, LAPC
• Bracy M Cato
• Liana Chambers, BT
• La'Bianca Queshun Champion

• Registered Dietitian in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.