Individual provider Active NPI

Audrey Urquhart, FNP-C

  • Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1275426793
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP238707 Issued in GA
Practice address
706 Dixie St Ste 200
Carrollton, GA 30117-3889
Phone
(770) 214-2229
Fax
(770) 214-9691
NPI assigned
Jun 2, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP238707 GA Primary

Addresses

Primary practice location

706 Dixie St Ste 200
Carrollton, GA 30117-3889

Mailing address

706 Dixie St Ste 200
Carrollton, GA 30117-3889
Phone (770) 214-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903000169 GA Practitioner - Nurse Practitioner 6204337942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians

Practice addresses (Care Compare)

706 Dixie St
Suite 200
Carrollton, GA 30117-3819
Phone (770) 214-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP238707GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc CurrentSince Sep 22, 2025 Accepting new patients

Locations

100 Greenway Blvd
Ste C
Carrollton, GA 30117
Phone (770) 838-8710

706 Dixie St
Ste 200
Carrollton, GA 30117
Phone (770) 214-2121

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

690 Dallas Hwy
Ste 301
Villa Rica, GA 30180
Phone (770) 456-3850

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1275426793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 200",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173889",
            "telephone_number": "770-214-2229",
            "fax_number": "770-214-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 200",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173889",
            "telephone_number": "770-214-2229",
            "fax_number": "770-214-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUHART",
        "first_name": "AUDREY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP238707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.