Active NPI
Brenda C Carper, NP
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1265484695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN038702
- Practice address
- 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606 - Phone
- (404) 851-8000
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | RN038702 | GA | |
| Physician Assistant | 363A00000X | RN038702 | GA | |
| Nurse Practitioner | 363L00000X | RN038702 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Mailing address
PO Box 2968
Kennesaw, GA 30156-9117
Phone (770) 779-0015
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000927022A | Medicaid | GA | |
| 333443 | Other | GA | WELLCARE |
| 000927022 | Medicaid | GA | |
| 10043467 | Other | GA | AMERIGROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1265484695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2968",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301569117",
"telephone_number": "770-779-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPER",
"first_name": "BRENDA",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "RN038702",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "RN038702",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN038702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000927022A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "333443",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000927022",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10043467",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.