Carla Ann Hairston, RN,FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

431310 Issued in TX

Practice address

1018 N Mound St Ste 205
Nacogdoches, TX 75961-4434

Phone

(936) 560-3800

Fax

(936) 560-0102

NPI assigned

Aug 15, 2005

Sex

Female

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

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lion Star Nacogdoches Hospital, LLCGroup PAC ID 3971992082, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advantage Plus Homecare Home health agency, Nacogdoches, TX, CCN 747683
• Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carla.hairston@ncfg.eclinicaldirectplus.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/seminol-3b162432

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.

• Lion Star Nacogdoches Hospital, LLC

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1316616550
  Medicare reassignment Care Compare group NPD
• Nacogdoches County Hospital District

  • Obstetrics & Gynecology Physician
  • Nacogdoches, TX
  • NPI 1053711804

  Family

  Medicare reassignment NPD
• Lion Star Nacogdoches Hospital, LLC

  • Rehabilitation Hospital Unit
  • Nacogdoches, TX
  • NPI 1043880123
  NPD
• Nacogdoches County Hospital District

  • Rehabilitation Hospital
  • Nacogdoches, TX
  • NPI 1780612754
  NPD
• Nacogdoches County Hospital District

  • Rural Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1801831748
  NPD (past)

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

• CBL Medical Enterprises, Inc.

  • Home Health Agency
  • Nacogdoches, TX
  • NPI 1811205370
  Care Compare affiliation
• Nacogdoches County Hospital District

  • Rural Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1801831748
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1124020631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-568-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N MOUND ST STE 205",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614434",
            "telephone_number": "936-560-3800",
            "fax_number": "936-560-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "CARLA",
        "middle_name": "ANN",
        "credential": "RN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "431310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gut Professor, LLC
• Waseem Haddad, RPH
• Treacy C Hagan, DC
• John George Haidinyak, MD
• Cassidi Hairgrove
• William Wayne Hairston, D.O.
• Caprice Hale, LMSW
• Kenslee Elise Haley, M.S., CCC-SLP
• Mitchell D Haley, OD
• Barbara Hall, RN

• Family Nurse Practitioner in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.

Verify at the official NPI Registry.