Provider Demographics
NPI:1619750056
Name:CARTER, JAMES CODY JR
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CODY
Last Name:CARTER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E BROAD STREET UNIT 332
Mailing Address - Street 2:20 E BROAD STREET UNIT 332
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5880
Mailing Address - Country:US
Mailing Address - Phone:614-762-0232
Mailing Address - Fax:
Practice Address - Street 1:20 E BROAD STREET UNIT 332
Practice Address - Street 2:20 E BROAD STREET UNIT 332
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5880
Practice Address - Country:US
Practice Address - Phone:614-762-0232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty