Sarah Carson
Individual provider Active NPI Clinical Nurse Specialist · La Fayette, GA
NPI 1194100362 · NPPES record last updated Jul 29, 2015
Key facts
- NPI
- 1194100362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Nurse Specialist 364S00000X
- License
- LPN090474 (GA)
- Practice address
- 3949 Round Pond Rd
La Fayette, GA 30728-4710 - Phone
- (423) 314-1252
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN090474 | GA | MD | Clinical Nurse Specialist |
| 86290 | TN | MD | Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | LPN090474 | GA | Yes |
| Clinical Nurse Specialist | 364S00000X | 86290 | TN |
Addresses
Primary practice location
3949 Round Pond Rd
La Fayette, GA 30728-4710
Mailing address
3949 Round Pond Rd
La Fayette, GA 30728-4710
Phone (423) 314-1252
Other providers in La Fayette, GA
- Megan Brackett
- Christina Lynn Broome
- John Ross Brown
- Kim Cameron
- Careatc
- Abdul Chowdhury
- Clark Health Services LLC
- Leila Clark
- Consistent Care Family Practice
- Countryside Hospice Care Inc
All providers in La Fayette, GA · Clinical Nurse Specialist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.