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KAREN L. CARTER MD
NPI 1255441994
Pediatrics - Neurodevelopmental Disabilities in Augusta, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1303 D'ANTIGNAC STREET, SUITE 2100, AUGUSTA, GA 30901(706) 396-0600(706) 396-0606 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen L. Carter Md NPPES

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

KAREN L. CARTER MD (NPI 1255441994) is an individual neurodevelopmental disabilities provider in Augusta, Georgia, licensed in Georgia (044184) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1996).

NPPES Registry Identity

NPI1255441994
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameKAREN L. CARTERCredential: MD
Location Address1303 D'ANTIGNAC STREET, SUITE 2100Augusta, GA 30901
Mailing Address1303 D'antignac Street, Suite 2100Augusta, GA 30901 · (706) 396-0600 · Fax (706) 396-0606
Phone(706) 396-0600
Fax(706) 396-0606
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1996
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 19, 2016
✔ NPI 1255441994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in GA · 044184
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
1303 D'ANTIGNAC STREET, Augusta, GA 30901
Open in Google Maps ↗

Other Identifiers 4

Medicaid000897245AGA
Medicare ID-Type Unspecified37BBFXCGA · Ga Medicare #
MedicaidG44184SC
Medicare UPINH39705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter of North Carolina and more.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

Karen L. Carter Md 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 ID2163470915
PECOS Enrollment IDI20050107000574
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 8

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.

Injection, medroxyprogesterone acetate, 1 mg J1050
Medroxyprogesterone acetate is a hormone injection given by a healthcare professional. It helps regulate the body's natural processes. The 1 mg dose refers to the amount of medication in each injection. It's important to follow your doctor's instructions for this treatment.
4,205 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services92 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
112 services74 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
46 services19 patients
Skin test for tuberculosis 86580
A skin test for tuberculosis, also known as a PPD test, is a simple procedure where a small amount of testing material is injected under the skin on your arm. After 48-72 hours, the test site is checked for a reaction which may indicate TB exposure.
24 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$2.85 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$1.52 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
4 suppliers31 claims855 services$3.18 avg. paid by Medicare
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each B4088
Other-Enteral and Parenteral · category OB006N
4 suppliers11 claims11 services$25.55 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
4 suppliers33 claims13,186 services$0.42 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims5,650 services$0.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JASMINE KEANNA DAWSON OT
Occupational Therapist
1303 D'ANTIGNAC STREET, SUITE 2100
AUGUSTA, GA 30901
Richmond County (706) 396-0600
AUGUSTA DEVELOPMENTAL SPECIALISTS, LLC
Pediatrics (Developmental - Behavioral Pediatrics)
1303 D'ANTIGNAC STREET, SUITE 2100
AUGUSTA, GA 30901
Richmond County (706) 396-0600

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 Karen Carter's NPI number?

The NPI number for Karen Carter is 1255441994. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Karen Carter located?

Karen Carter practices at 1303 D'antignac Street Suite 2100, Augusta, GA 30901. The listed phone number is (706) 396-0600.

What is Karen Carter's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Karen Carter enrolled in Medicare?

Yes. Karen Carter 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 Karen Carter accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Karen Carter 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 Karen Carter affiliated with any hospitals?

According to CMS data, Karen Carter is affiliated with Piedmont Augusta Hospital and Au Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Carter was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.