ANTHONY PHILIP CARTER MD
NPI 1487092656
Family Medicine in Rome, GA

Q: What is Anthony Carter's NPI number?

The NPI number for Anthony Carter is 1487092656. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Anthony Carter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Carter was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment

304 TURNER MCCALL BLVD SW, ROME, GA 30165(706) 509-6100 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2021, Oct 28, 2020, Jul 13, 2016 (3 updates tracked since 2016).

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About Anthony Philip Carter Md NPPES

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

ANTHONY PHILIP CARTER MD (NPI 1487092656) is an individual family medicine provider in Rome, Georgia, licensed in Georgia (072967) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of University Of Mississippi School Of Medicine (2013).

NPPES Registry Identity

NPI1487092656

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANTHONY PHILIP CARTERCredential: MD

Location Address304 TURNER MCCALL BLVD SWRome, GA 30165-5621

Mailing Address420 E 2nd Ave Ste 103Rome, GA 30161-3210 · (706) 509-3000

Phone(706) 509-6100

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2013

Enumeration DateJune 11, 2013

Last NPPES UpdateMay 20, 20213 updates tracked since enumeration

NPPES CertifiedMay 20, 2021

✔ NPI 1487092656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 072967

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

304 TURNER MCCALL BLVD SW, Rome, GA 30165

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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 Health 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

Anthony Philip 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 ID9335459981

PECOS Enrollment IDI20151110002695

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

271 services259 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

172 services164 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.

20 services20 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number110023

Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County

Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

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.

CHARLES BROWN NP

Nurse Practitioner (Neonatal)