Active NPI
Eric Wayne Carelock, FNP-C
- Family Nurse Practitioner
- Hazlehurst, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN222316
- Practice address
- 15 Yarbrough St
Hazlehurst, GA 31539-6341 - Phone
- (912) 375-0755
- Fax
- (912) 375-0756
- NPI assigned
- Sep 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN222316 | GA | Primary |
Addresses
Primary practice location
15 Yarbrough St
Hazlehurst, GA 31539-6341
Mailing address
P O Box
Hazlehurst, GA 31539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN222316 | Other | GA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180119002484 | GA | Practitioner - Nurse Practitioner | 4385872092 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Authority of Jeff Davis County Georgia
Practice addresses (Care Compare)
15 Yarbrough St
Hazlehurst, GA 31539-6341
Phone (912) 375-0755
Hospital & facility affiliations
- Jeff Davis Hospital
- Appling Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Jeff Davis County Georgia | Current | Accepting new patients | |
| Dr. Jason R Laney, PC | Current | Accepting new patients | |
| Family Healthcare Connections, PC | Current | Accepting new patients | |
| Hospital Authority of Jeff Davis County Georgia | Current | Accepting new patients | |
| Hospital Authority of Jeff Davis County Georgia | Family | Past | Accepting new patients |
Locations
15 Yarbrough St
Hazlehurst, GA 31539
Phone (912) 375-0755
209 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-3095
163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Hazlehurst, GA
- NPI 1912902263
GA
-
- Rural Health Clinic/Center
- Hazlehurst, GA
- NPI 1912379082
Family
-
- Medicare Defined Swing Bed Hospital Unit
- Hazlehurst, GA
- NPI 1205229994
-
- Internal Medicine Physician
- Hazlehurst, GA
- NPI 1528874518
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hazlehurst, GA
- NPI 1912902263
Hospital
-
- General Acute Care Hospital
- Baxley, GA
- NPI 1861615304
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1023536646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "31539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 YARBROUGH ST",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396341",
"telephone_number": "912-375-0755",
"fax_number": "912-375-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARELOCK",
"first_name": "ERIC",
"middle_name": "WAYNE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-04",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN222316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RN222316",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazlehurst, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.