Active NPI
Elijah Lee Carter, CRC, CVE, LPC, CDMS
- Rehabilitation Counselor
- Grovetown, GA
National Provider Identifier
1982211520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 00116768
- Practice address
- 3001 Gordon Hwy
Grovetown, GA 30813-3808 - Phone
- (706) 855-4883
- NPI assigned
- Sep 28, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 00116768 | Primary |
Addresses
Primary practice location
3001 Gordon Hwy
Grovetown, GA 30813-3808
Mailing address
144 Gardners Mill Rd
Augusta, GA 30907-3792
Phone (706) 339-8188
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": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1982211520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 GARDNERS MILL RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309073792",
"telephone_number": "706-339-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 GORDON HWY",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308133808",
"telephone_number": "706-855-4883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ELIJAH",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "CRC, CVE, LPC, CDMS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-28",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": "00116768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.