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ELBRETTA RENISE CARPENTER
NPI 1366294712
Specialist in Loganville, GA

Active since April 01, 2024
3117 BENTLEY FARMS DR, LOGANVILLE, GA 30052(470) 475-6911 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Elbretta Renise Carpenter NPPES

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

ELBRETTA RENISE CARPENTER (NPI 1366294712) is an individual specialist in Loganville, Georgia, licensed in Georgia (COO87445) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1366294712
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameELBRETTA RENISE CARPENTER
Location Address3117 BENTLEY FARMS DRLoganville, GA 30052-3175
Mailing Address226 Alcovy St Ste A4Monroe, GA 30655-2184 · (770) 241-6905
Phone(470) 475-6911
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1366294712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · COO87445
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3117 BENTLEY FARMS DR, Loganville, GA 30052
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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 Elbretta Carpenter's NPI number?

The NPI number for Elbretta Carpenter is 1366294712. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Elbretta Carpenter located?

Elbretta Carpenter practices at 3117 Bentley Farms Dr, Loganville, GA 30052. The listed phone number is (470) 475-6911.

What is Elbretta Carpenter's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Elbretta Carpenter was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.