DR. KENNETH BRADFORD CARPENTER PSYD
NPI 1912315987
Psychologist - Clinical in Blue Ridge, GA

Active since July 23, 2014PECOS EnrolledAccepts Medicare Assignment
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513(706) 946-4647(706) 374-5006 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2023, Apr 10, 2023, Sep 8, 2022 and 2 more (5 updates tracked since 2021).

About Dr. Kenneth Bradford Carpenter Psyd NPPES

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

DR. KENNETH BRADFORD CARPENTER PSYD (NPI 1912315987) is an individual clinical provider in Blue Ridge, Georgia, licensed in Georgia (003825) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1912315987
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNETH BRADFORD CARPENTERCredential: PSYD
Location Address165 BLUE RIDGE OVERLOOKBlue Ridge, GA 30513-4431
Mailing Address165 Blue Ridge OverlookBlue Ridge, GA 30513-4431 · (706) 946-5607 · Fax (706) 374-7628
Fax(706) 374-5006
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 23, 2014
Last NPPES UpdateJuly 14, 20255 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1912315987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · 003825
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
165 BLUE RIDGE OVERLOOK, Blue Ridge, GA 30513

Secondary Practice Locations 2

Location 180 Cinema DriveEllijay, GA 30540-2592 · Phone (706) 635-6898 · Fax (706) 635-6885
Location 279 Blue Ridge OverlookBlue Ridge, GA 30513-4478 · Phone (706) 374-3100 · Fax (706) 374-7628

Accepted 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

Dr. Kenneth Bradford Carpenter Psyd 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 ID3173743200
PECOS Enrollment IDI20141013000746
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30513 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
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 13

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

Internal Medicine
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 30513
Family Medicine
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 30513
Podiatrist
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 30513
Internal Medicine
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 30513
Dietitian, Registered
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 30513
Nurse Practitioner (Family)
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 30513
Nurse Practitioner (Family)
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 30513
Clinic/Center (Federally Qualified Health Center (FQHC))
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 30513

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 Kenneth Carpenter's NPI number?

The NPI number for Kenneth Carpenter is 1912315987. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Kenneth Carpenter located?

Kenneth Carpenter practices at 165 Blue Ridge Overlook, Blue Ridge, GA 30513. The listed phone number is (706) 946-4647.

What is Kenneth Carpenter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kenneth Carpenter enrolled in Medicare?

Yes. Kenneth Carpenter 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 Kenneth Carpenter accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Kenneth Carpenter 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.

When was this NPI record last updated?

The NPPES record for Kenneth Carpenter was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.