Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Robert Louis Carter , RN, PNP

Nurse Practitioner - Pediatrics β€’ Fort Moore, GA

Active NPI 1154623320 Individual Practitioner Male Practitioner
Practice location in NPPES

6600 Van Aalst Blvd
Fort Moore, GA 31905

Call 7624082350 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6600 Van Aalst Blvd

Fort Moore, GA 31905

Telephone 7624082350

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Moore and Georgia

2 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Fort Moore, GA (919 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-23
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES SC 4387
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Megan Benedict , PA-C

Physician Assistant

NPI 1104439181

Physician Assistant (Certified)

NPI 1780840728

Doctor of Osteopathic Medicine (D.O.)

Kendra Bullocks , LCSW

Social Worker - Clinical

NPI 1356956940

Licensed Clinical Social Worker

Dr. John Byers , MD

Internal Medicine

NPI 1245331313

Doctor of Medicine (M.D.)

Ledontrae Gooden , PA-C

Physician Assistant - Medical

NPI 1528607272

Physician Assistant (Certified)

NPI 1952401747

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 23, 2024

Registered at 6600 VAN AALST BLVD, FORT MOORE, GA 31905 (Tel: 7624082350)

πŸ“
Updated Business Mailing Address May 23, 2024

Registered at 6600 VAN AALST BLVD, FORT MOORE, GA 31905

βœ…
NPI Profile Active January 23, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 23, 2012

Registered at 1875 N PARIS AVE, PORT ROYAL, SC 299352029 (Tel: 8435223870)

πŸ“
Business Mailing Address (Initial Record) January 23, 2012

Registered at 1875 N PARIS AVE, PORT ROYAL, SC 299352029 (Tel: 8435223870)

πŸ‘€
Provider Name / Credentials (Initial Record) January 23, 2012

Recorded as ROBERT CARTER, RN, PNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2012

Nurse Practitioner (license number reported to NPPES: SC 4387)

🟒
Initial NPI Registration & Enumeration November 22, 2010

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1154623320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2010
Last Update: May 23, 2024
Sole Proprietor: No

Mailing Address

6600 Van Aalst Blvd

Fort Moore, GA 31905

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.