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CHRISTIAN JAVIER CARMONA-CARLO
NPI 1053988089
Counselor - Professional in Duluth, GA

Active since June 08, 2021PECOS Enrolled
3350 BRECKINRIDGE BLVD STE 200, DULUTH, GA 30096(770) 962-8396 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christian Javier Carmona-carlo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN JAVIER CARMONA-CARLO (NPI 1053988089) is an individual professional provider in Duluth, Georgia, licensed in Georgia (LPC012123) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053988089
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTIAN JAVIER CARMONA-CARLO
Location Address3350 BRECKINRIDGE BLVD STE 200Duluth, GA 30096-4959
Mailing Address3350 Breckinridge Blvd Ste 200Duluth, GA 30096-4959 · (770) 962-8396
Phone(770) 962-8396
Sole ProprietorNo
Enumeration DateJune 8, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1053988089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC012123
3350 BRECKINRIDGE BLVD STE 200, Duluth, GA 30096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Javier Carmona-carlo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER PRIDE
Nurse Practitioner (Adult Health)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (720) 472-8052
MR. BRYAN MILD GOLSON LPC
Counselor (Professional)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
AARON A MONTGOMERY NP
Nurse Practitioner (Family)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (404) 728-4164
SAMANTHA MARIE HYDES APRN, FNP-BC
Nurse Practitioner (Family)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (678) 990-6422
JESSICA LEONARD DMD
Dentist
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
DR. PAMELA MARIE WASHINGTON DMD
Dentist (General Practice)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396
POSITIVE IMPACT HEALTH CENTERS, INC
Dentist (General Practice)
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (179) 086-1995
POSITIVE IMPACT HEALTH CENTERS, INC
Case Management
3350 BRECKINRIDGE BLVD STE 200
DULUTH, GA 30096
Gwinnett County (770) 962-8396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Carmona-carlo's NPI number?

The NPI number for Christian Carmona-carlo is 1053988089. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Christian Carmona-carlo located?

Christian Carmona-carlo practices at 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096. The listed phone number is (770) 962-8396.

What is Christian Carmona-carlo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Christian Carmona-carlo enrolled in Medicare?

Yes. Christian Carmona-carlo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Carmona-carlo was last updated on June 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.