IndividualActive
Elliott Carter, MAT, ATC
NPI 1447635719 · Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1447635719
- Entity type
- Individual
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Credential
- MAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT0382 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-2000
Approximate (ZIP-level) locationGet directions
Mailing address
122 Nicholson Dr
Terry, MS 39170-6001
Registry dates
- Enumerated
- 2015-07-28
- Last updated
- 2015-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.