J. EDWYN CARTER M.D.
NPI 1770566952
Pediatrics in Newnan, GA

Q: What is J. Carter's NPI number?

The NPI number for J. Carter is 1770566952. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is J. Carter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for J. Carter was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 November 22, 2005PECOS Enrolled

189 JEFFERSON PKWY, NEWNAN, GA 30263(770) 304-2220(770) 304-2622 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About J. Edwyn Carter M.d. NPPES

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

J. EDWYN CARTER M.D. (NPI 1770566952) is an individual pediatrics provider in Newnan, Georgia, licensed in Georgia (037971) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770566952

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJ. EDWYN CARTERCredential: M.D.

Location Address189 JEFFERSON PKWYNewnan, GA 30263-5823

Mailing Address189 Jefferson PkwyNewnan, GA 30263-5823 · (770) 304-2220 · Fax (770) 304-2622

Phone(770) 304-2220

Fax(770) 304-2622

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateJune 16, 2010

✔ NPI 1770566952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 037971

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

189 JEFFERSON PKWY, Newnan, GA 30263

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Other Identifiers 1

Medicaid00606581AGA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J. Edwyn Carter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show J. Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Pediatric Physicians LLC

Same address

Pediatrics

189 JEFFERSON PKWY
Newnan, GA 30263

Reassigned Medicare billing, Georgia enrollment
22 clinicians in this Medicare group

NPI 1447315742 (770) 801-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30263 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 8

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

J. BOYCE THOMAS M.D.

Pediatrics