Individual provider Active NPI

Elliott William Carter, MD

  • Obstetrics & Gynecology Physician
  • Dalton, GA
National Provider Identifier
1972167617
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
68085 Issued in TN
Practice address
1105 Burleyson Rd
Dalton, GA 30720-3181
Phone
(706) 278-4640
Fax
(706) 275-6599
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 68085 TN Primary

Addresses

Primary practice location

1105 Burleyson Rd
Dalton, GA 30720-3181

Mailing address

105 JW Plaza Dr SE Ste 1
Calhoun, GA 30701-1503
Phone (706) 278-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108001296 GA Practitioner - Obstetrics/Gynecology 0749518280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Obstetrics and Gynecology, PCGroup PAC ID 5092701029, 11 clinicians

Practice addresses (Care Compare)

1105 Burleyson Rd
Dalton, GA 30720-3181
Phone (706) 278-4640

Hospital & facility affiliations

  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
72.74
Improvement activities
40
Cost
88.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Obstetrics & Gynecology, PC Single Specialty CurrentSince Sep 3, 2024 Accepting new patients
Hamilton Medical Center, Inc. Single Specialty Past Accepting new patients
Erlanger Health Single Specialty Past Accepting new patients

Locations

105 Jw Plaza Dr SE
Ste 1
Calhoun, GA 30701
Phone (706) 278-4640

1250 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-4640

1105 Burleyson Rd
Dalton, GA 30720
Phone (706) 278-4640

1109 Burleyson Rd
Ste 205
Dalton, GA 30720
Phone (706) 278-4640

Interoperability endpoints

  • Direct secure messaging: elliott.carter.1@4044.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4044/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1972167617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JW PLAZA DR SE STE 1",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011503",
            "telephone_number": "706-278-4640",
            "fax_number": "706-383-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203181",
            "telephone_number": "706-278-4640",
            "fax_number": "706-275-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ELLIOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "68085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.