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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CARSON LEE BOOTH
NPI 1669394078
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since July 28, 2026
108 SPEAR RD, ATHENS, GA 30602(706) 713-2617 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carson Lee Booth NPPES

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

CARSON LEE BOOTH (NPI 1669394078) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1669394078
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARSON LEE BOOTH
Location Address108 SPEAR RDAthens, GA 30602-5038
Mailing Address108 Spear RdAthens, GA 30602-5038 · (706) 713-2617
Phone(706) 713-2617
Sole ProprietorNo
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1669394078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
108 SPEAR RD, Athens, GA 30602
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Other Providers at the Same Location NPPES 6

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

THEODORE HODGES CAMPBELL IV
Student in an Organized Health Care Education/Training Program
108 SPEAR RD
ATHENS, GA 30602
Clarke County (706) 542-3000
JESSICA ROSE GARCIA
Student in an Organized Health Care Education/Training Program
108 SPEAR RD
ATHENS, GA 30602
Clarke County (706) 713-2617
SARVOTHAM KINI MD
Internal Medicine
108 SPEAR RD, SUITE 309
ATHENS, GA 30602
Clarke County (706) 542-9592
DEBORAH SONG
Student in an Organized Health Care Education/Training Program
108 SPEAR RD
ATHENS, GA 30602
Clarke County (706) 713-2617
HUMZAH ALI
Student in an Organized Health Care Education/Training Program
108 SPEAR RD
ATHENS, GA 30602
Clarke County (706) 713-2617
JAMES IAN DORNBUSH
Student in an Organized Health Care Education/Training Program
108 SPEAR RD
ATHENS, GA 30602
Clarke County (706) 713-2617

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 Carson Booth's NPI number?

The NPI number for Carson Booth is 1669394078. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Carson Booth located?

Carson Booth practices at 108 Spear Rd, Athens, GA 30602. The listed phone number is (706) 713-2617.

What is Carson Booth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carson Booth was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.