Individual provider Active NPI

Michael Levern Carter, MD

  • Internal Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1982876579
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
034119 Issued in GA
Practice address
1060 Eagles Landing Pkwy
Ste 150
Stockbridge, GA 30281-9090
Phone
(770) 507-2800
Fax
(866) 829-1468
NPI assigned
Mar 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 034119 GA
Internal Medicine Physician 207R00000X 034119 GA Primary

Addresses

Primary practice location

1060 Eagles Landing Pkwy
Ste 150
Stockbridge, GA 30281-9090

Mailing address

1060 Eagles Landing Pkwy
Ste 150
Stockbridge, GA 30281-9090
Phone (770) 507-2800

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
I20220222001922 GA Practitioner - Internal Medicine 9133513807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034119GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Joint Clinics LLC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Dodd Hyer, M.D. LTD Anesthesiology Past Accepting new patients

Locations

483 Upper Riverdale Rd SW
Ste F
Riverdale, GA 30274
Phone (470) 895-0610

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1982876579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 EAGLES LANDING PKWY",
            "address_2": "STE 150",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819090",
            "telephone_number": "770-507-2800",
            "fax_number": "866-829-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 EAGLES LANDING PKWY",
            "address_2": "STE 150",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819090",
            "telephone_number": "770-507-2800",
            "fax_number": "866-829-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MICHAEL",
        "middle_name": "LEVERN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "034119",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "034119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.