Active NPI
Lisa S Carr, CNP
- Nurse Practitioner
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN077674
- Practice address
- 918 S Broad St
Thomasville
Thomasville, GA 31792-0918 - Phone
- (229) 226-8800
- Fax
- (229) 226-8232
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN077674 | GA | Primary |
Addresses
Primary practice location
918 S Broad St
Thomasville
Thomasville, GA 31792-0918
Mailing address
PO Box 2357
Thomasville
Thomasville, GA 31799-2357
Phone (229) 226-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00481698D | Medicaid | GA | |
| 00481698B | Medicaid | GA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
2484 E Pinetree Blvd
Thomasville, GA 31792-4854
Phone (229) 594-6800
Hospital & facility affiliations
- Archbold Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaw Living PC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Shaw Center for Women'S Health | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 262-7414
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
103 E Davis St
Quitman, GA 31643
Phone (229) 263-7868
905 N Court St
Quitman, GA 31643
Phone (229) 263-8956
2484 E Pinetree Blvd
Thomasville, GA 31792
Phone (229) 226-8800
918 S Broad St
Thomasville, GA 31792
Phone (229) 226-8800
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- lisa.carr.1@8042.direct.athenahealth.com
- lisa.carr@shawcenter.gadirect.net
- lisacarr@scwhpa.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Obstetrics & Gynecology Physician
- Thomasville, GA
- NPI 1427067057
-
- Family Medicine Physician
- Thomasville, GA
- NPI 1033778923
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1073568630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2357",
"address_2": "THOMASVILLE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317992357",
"telephone_number": "229-226-8800",
"fax_number": "229-226-8232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 S BROAD ST",
"address_2": "THOMASVILLE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317920918",
"telephone_number": "229-226-8800",
"fax_number": "229-226-8232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "LISA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN077674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00481698D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00481698B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.