MR. ALFRED BALL CARTER IV MA
NPI 1285702779
Counselor - Professional in Kennesaw, GA
NPI Status: Active since December 01, 2006
Contact Information
1815 OLD 41 HWY NW
SUITE 110
KENNESAW, GA
ZIP 30152
Phone: (678) 468-9103
- Individual
- Male
- Counselor
- Professional
- Opted-Out Medicare
About ALFRED CARTER
This page provides the complete NPI Profile along with additional information for Alfred Carter, a provider established in Kennesaw, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1285702779 assigned on December 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 005248 (GA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1285702779
- Provider Name
- MR. ALFRED BALL CARTER IV MA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1815 OLD 41 HWY NW SUITE 110 KENNESAW, GA 30152
- Location Phone
- (678) 468-9103
- Mailing Address
- 2618 MARLEIGH FARM RD NW KENNESAW, GA 30152
- Mailing Phone
- (404) 895-9984
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-01-2006
- Last Update Date
- 09-14-2015
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Alfred Carter opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 005248
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 005264 (GA) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 7 | 0 | 2 | 7 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 14 | 0 | 4 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 4 + 0 + 4 + 7 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1285702779 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356582019 | DR. TIFFANY ANNE HODGES PSY.D Individual | Psychologist | 1815 OLD 41 HWY NW SUITE 110 KENNESAW, GA 30152 (770) 428-8686 |
| 1154758662 | REDEEMING HEALTH, LLC Organization | Chiropractor | 1815 OLD 41 HWY NW SUITE 370 KENNESAW, GA 30152 (770) 575-3103 |
| 1548699515 | JASON GABRIEL LAPC Individual | Counselor (Mental Health) | 1815 OLD 41 HWY NW 110 KENNESAW, GA 30152 (678) 468-9103 |
| 1689088916 | DRENDA DENISE ROUNTREE MS, NCC, LAPC Individual | Counselor | 1815 OLD 41 HWY NW SUITE 110 KENNESAW, GA 30152 (678) 468-9103 |
| 1407280456 | MS. TANYA L GUSTAFSON LAMFT Individual | Marriage & Family Therapist | 1815 OLD 41 HWY NW SUITE 110 KENNESAW, GA 30152 (678) 468-9103 |
| 1912375817 | MR. SEAN MICHAEL REILLY L.C.S.W. Individual | Social Worker (Clinical) | 1815 OLD 41 HWY NW SUITE 110 KENNESAW, GA 30152 (678) 468-9103 |
| 1346076346 | SAVANNAH KAYE HIGDON Individual | Counselor (Mental Health) | 1815 OLD 41 HWY NW KENNESAW, GA 30152 (678) 468-9103 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285702779, enumerated in the NPI registry as an "individual" on December 01, 2006
The provider is located at 1815 Old 41 Hwy Nw Suite 110 Kennesaw, Ga 30152 and the phone number is (678) 468-9103
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.