Wade Allen Carr, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN292885 Issued in GA

Practice address

1902 Forsyth St
Macon, GA 31201-8132

Phone

(478) 250-9785

NPI assigned

Jul 22, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Vascular, LLC

  dba Premier Vascular Surgery

  • Vascular Surgery Physician
  • Macon, GA
  • NPI 1942981618
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1023990975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1804",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310321804",
            "telephone_number": "478-972-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018132",
            "telephone_number": "478-250-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "WADE",
        "middle_name": "ALLEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN292885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorner Lee Carmichael, PA-C
• Tonya Wainwright Carodine, NP
• Carol Roobin Bashuk Hearing Aid Centers (Carol Roobin Bashuk Beltone)
• Kimberli H Carpenter, MD
• Benjamin Charles Carr, MD
• William Thomas Carrigan, M.D.
• David M Carroll, M.D.
• Heather Jo Carroll
• Loretta Lee Carson-Fawks, BEHAVIOR ANALYST
• Leanne Carson

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.