Nancy Carnevale, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

82272 Issued in GA

Practice address

1201 Burleyson Rd
Dalton, GA 30720-3019

Phone

(706) 226-8900

Fax

(706) 226-8905

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hamilton Children'S Institute Inc

  • Developmental - Behavioral Pediatrics Physician
  • Dalton, GA
  • NPI 1700357217
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1144307448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203019",
            "telephone_number": "706-226-8900",
            "fax_number": "706-226-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203019",
            "telephone_number": "706-226-8900",
            "fax_number": "706-226-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEVALE",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "FL",
            "license": "ME83554",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "GA",
            "license": "82272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telisha Rose Campbell
• Stefan Canacevic, M.D
• Candler Road Dental, PC
• Hannah Lee Cannon, M.S. CCC-SLP
• Cardiology Center of Dalton PC
• Natasha Nicole Carr
• Travis Rod Carroll, M.D.
• Tricia Marie Carroll, OTR
• David Stephen Carson Sr., MD
• Elliott William Carter, MD

• Developmental - Behavioral Pediatrics Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Developmental - Behavioral Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.