Dara Carroll
Individual provider Active NPI Family Nurse Practitioner · Jasper, GA
NPI 1124603923 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1124603923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN190911 (GA)
- Practice address
- 175 Samaritan Dr
Jasper, GA 30143-1964 - Phone
- (706) 253-4633
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210406000914 | GA | Practitioner - Nurse Practitioner | 2163839325 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| Rural Urgent Care LLC | Current |
Accepting new patients | |
| Good Samaritan Health & Wellness Center Inc. | Past |
Accepting new patients | |
| Good Samaritan Health & Wellness Center Inc. | Past |
Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033
25 Highland Xing S
Ellijay, GA 30540
Phone (706) 273-1954
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJECDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN190911 | GA | Yes |
Addresses
Primary practice location
175 Samaritan Dr
Jasper, GA 30143-1964
Mailing address
175 Samaritan Dr
Jasper, GA 30143-1964
Phone (706) 253-4633
Other providers in Jasper, GA
- Burnt Mountain Center Inc
- George Bradford Cabe
- Matthew W Camp
- Jimmie Dale Cannon Jr.
- Cardiac Disease Specialists, PC
- Joanne Allison Carter
- Nicole Liza Caylor
- Julia Prawl Ceglenski
- Center for Colon and Digestive Care
- Nathan L Chapman
All providers in Jasper, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.