DR. CARTER CO M.D.
NPI 1164547022
Internal Medicine - Critical Care Medicine in Newnan, GA

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265(770) 400-6000 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2021, Jul 6, 2021 (2 updates tracked since 2021).

About Dr. Carter Co M.d. NPPES

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

DR. CARTER CO M.D. (NPI 1164547022) is an individual critical care medicine provider in Newnan, Georgia, licensed in Georgia (61054) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164547022
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. CARTER COCredential: M.D.
Location Address600 CELEBRATE LIFE PKWYNewnan, GA 30265-8001
Mailing Address600 Celebrate Life PkwyNewnan, GA 30265-8001 · (770) 400-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 20, 2007
Last NPPES UpdateJanuary 25, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
NPI 1164547022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in GA · 61054 Licensed in GA · 061054 Licensed in MD · 0077047
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 061054 (GA)
600 CELEBRATE LIFE PKWY, Newnan, GA 30265

Secondary Practice Locations 2

Location 1960 Johnson Ferry Rd Ste 500Atlanta, GA 30342-1630 · Phone (404) 257-0006 · Fax (404) 851-1316
Location 280 Jesse Hill Jr Dr SEAtlanta, GA 30303-3031 · Phone (404) 616-1000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Carter Co M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072708775
PECOS Enrollment IDI20101108000792
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Nurse Practitioner (Family)
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Nurse Anesthetist, Certified Registered
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Radiology (Diagnostic Radiology)
600 CELEBRATE LIFE PKWY, CANCER TREATMENT CENTERS OF AMERICA
NEWNAN, GA 30265
Internal Medicine (Hematology & Oncology)
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Registered Nurse
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Nurse Anesthetist, Certified Registered
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Urology
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265

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 Carter Co's NPI number?

The NPI number for Carter Co is 1164547022. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Carter Co located?

Carter Co practices at 600 Celebrate Life Pkwy, Newnan, GA 30265. The listed phone number is (770) 400-6000.

What is Carter Co's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Carter Co enrolled in Medicare?

Yes. Carter Co is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carter Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Carter Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carter Co affiliated with any hospitals?

According to CMS data, Carter Co is affiliated with Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Carter Co was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.