Carlos Alberto Escobar, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN225443 Issued in GA

Practice address

6460 Highway 92
Ste 200
Acworth, GA 30102-2998

Phone

(770) 880-4517

NPI assigned

Feb 12, 2007

Sex

Male

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

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.

• Prodiagnostics Medical Center

  • Clinic/Center
  • Acworth, GA
  • NPI 1851805469
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1215079736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 HIGHWAY 92",
            "address_2": "STE 200",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022998",
            "telephone_number": "770-880-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 HIGHWAY 92",
            "address_2": "STE 200",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022998",
            "telephone_number": "770-880-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "RN225443",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eloquent Health LLC
• James Elsbree, MD
• Angela Emanuel Morris
• Endovascular Therapy and Vascular Surgery of Ga
• Ashley Ervin
• Nicole James Escobar, LMT
• Adewale A Esho, B.PHARM
• Imonee Evans
• Kristi Renee Evans, MS, CCC-SLP
• Shaniqua Evans, CCC-SLP

• Family Nurse Practitioner in Acworth, GA
• Providers in Acworth, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.