Individual provider Active NPI

Jamie Carter

  • Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1033978648
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN291974 Issued in GA
Practice address
3301 N Oak Street Ext
Valdosta, GA 31605-1014
Phone
(229) 242-6061
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN291974 GA Primary
Family Nurse Practitioner 363LF0000X 11032352 FL
Neonatal Intensive Care Registered Nurse 163WN0002X 9582156 FL

Addresses

Primary practice location

3301 N Oak Street Ext
Valdosta, GA 31605-1014

Mailing address

2506 Winding Way
Valdosta, GA 31602-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9582156FLMDNeonatal Intensive Care Registered Nurse
RN291974GAMDNurse Practitioner
11032352FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Uro Gynecology ,LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

100 Plantation Ridge Dr
Apt D
Americus, GA 31709
Phone (229) 474-6933

2704 N Oak St
Bldg C2
Valdosta, GA 31602
Phone (229) 247-2122

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFFCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1033978648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 WINDING WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N OAK STREET EXT",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051014",
            "telephone_number": "229-242-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN291974",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032352",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "FL",
            "license": "9582156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.