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DR. JAMES L CARTER III DDS
NPI 1962568279
Dentist - General Practice in Athens, TN

Active since December 29, 2006Opted out of Medicare · through Oct 1, 2026
2416 CONGRESS PKWY S, ATHENS, TN 37303(423) 745-1988(423) 745-1515 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James L Carter Iii Dds NPPES

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

DR. JAMES L CARTER III DDS (NPI 1962568279) is an individual general practice provider in Athens, Tennessee, licensed in Tennessee (7182) and active in the NPI registry since December 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962568279
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES L CARTER IIICredential: DDS
Location Address2416 CONGRESS PKWY SAthens, TN 37303-2822
Mailing Address2416 Congress Pkwy S, Po Box 607Athens, TN 37303-2822 · (423) 745-1988 · Fax (423) 745-1515
Phone(423) 745-1988
Fax(423) 745-1515
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962568279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 7182
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2416 CONGRESS PKWY S, Athens, TN 37303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James L Carter Iii Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37303 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 3

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

VISUAL EYES
Technician/Technologist (Optician)
2416 CONGRESS PKWY S
ATHENS, TN 37303
McMinn County (423) 605-1797
CARTER DENTAL OFFICE, PLLC
Dentist (General Practice)
2416 CONGRESS PKWY S
ATHENS, TN 37303
McMinn County (423) 745-1988
JAMES L CARTER III
Dentist (General Practice)
2416 CONGRESS PKWY S
ATHENS, TN 37303
McMinn County (423) 745-1988

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 James Carter's NPI number?

The NPI number for James Carter is 1962568279. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is James Carter located?

James Carter practices at 2416 Congress Pkwy S, Athens, TN 37303. The listed phone number is (423) 745-1988.

What is James Carter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Carter enrolled in Medicare?

No. James Carter has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Carter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.