Active NPI
Keo Carter Sr., MSW
- Social Worker
- Stockbridge, GA
National Provider Identifier
1881564235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 301 Country Club Dr
Stockbridge, GA 30281-7350 - Phone
- (678) 782-7272
- Fax
- (866) 936-6574
- NPI assigned
- Nov 10, 2025
- Last updated
- Apr 30, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | GA | Primary |
Addresses
Primary practice location
301 Country Club Dr
Stockbridge, GA 30281-7350
Mailing address
10725 Thrasher Rd
Jonesboro, GA 30238-6668
Phone (678) 460-6555
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1881564235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10725 THRASHER RD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302386668",
"telephone_number": "678-460-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 COUNTRY CLUB DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817350",
"telephone_number": "678-782-7272",
"fax_number": "866-936-6574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KEO",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-10",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.