Active NPI
Cassandra Faye Carlisle, NP
- Registered Nurse
- Smyrna, GA
National Provider Identifier
1295057834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN141142
- Practice address
- 1314 Concord Rd SE
Smyrna, GA 30080-4361 - Phone
- (770) 333-8889
- Fax
- (770) 333-8948
- NPI assigned
- Feb 24, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN141142 | GA | Primary |
Addresses
Primary practice location
1314 Concord Rd SE
Smyrna, GA 30080-4361
Mailing address
1314 Concord Rd SE
Smyrna, GA 30080-4361
Phone (770) 333-8788
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN141142 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healthcaring Clinic of Georgia, LLC | Current | Accepting new patients | |
| David E Kim MD PC | Current | Accepting new patients | |
| Piedmont Medical Care Corporation | Past | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients | |
| Community Health Center, Inc. | Past | Accepting new patients |
Locations
491 E Main St
Cartersville, GA 30121
Phone (678) 535-1170
1430 Towne Lake Pkwy
Woodstock, GA 30189
Phone (770) 516-2055
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1194919381
-
- Family Nurse Practitioner
- Cartersville, GA
- NPI 1669539508
-
- General Practice Physician
- Powder Springs, GA
- NPI 1598052706
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1295057834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804361",
"telephone_number": "770-333-8788",
"fax_number": "770-333-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804361",
"telephone_number": "770-333-8889",
"fax_number": "770-333-8948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLISLE",
"first_name": "CASSANDRA",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN141142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.