Active NPI
Tracey-Ann Harriott, FNP-BC
- Family Nurse Practitioner
- Cartersville, GA
National Provider Identifier
1093236739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 258333
- Practice address
- 309 E Main St
Cartersville, GA 30120-3335 - Phone
- (347) 882-6709
- NPI assigned
- Jul 3, 2017
- Last updated
- Dec 28, 2022
- Sex
- Female
- 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 | 258333 | GA | Primary |
Addresses
Primary practice location
309 E Main St
Cartersville, GA 30120-3335
Mailing address
1928 Paddock Path Dr NW
Acworth, GA 30102-0702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258333 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1093236739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 PADDOCK PATH DR NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301020702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E MAIN ST",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203335",
"telephone_number": "347-882-6709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIOTT",
"first_name": "TRACEY-ANN",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2022-12-28",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "258333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.