Individual provider Active NPI

Eric Wayne Carelock, FNP-C

  • Family Nurse Practitioner
  • Hazlehurst, GA
National Provider Identifier
1023536646
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN222316 Issued in GA
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

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN222316OtherGASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 11 clinicians

Practice addresses (Care Compare)

15 Yarbrough St
Hazlehurst, GA 31539-6341
Phone (912) 375-0755

Hospital & facility affiliations

  • Jeff Davis Hospital Hospital, Hazlehurst, GA, CCN 111333
  • Appling Healthcare Hospital, Baxley, GA, CCN 110071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Mar 1, 2025 Accepting new patients
Dr. Jason R Laney, PC CurrentSince Sep 18, 2018 Accepting new patients
Family Healthcare Connections, PC CurrentSince Nov 21, 2022 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.