Tracy Elaine Powell, CANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R092714 Issued in GA

Practice address

1365B Clifton Rd NE
Suite1400
Atlanta, GA 30322-1013

Phone

(404) 778-4898

Fax

(404) 778-4006

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy Elaine Carr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Adult Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tpowell28050@direct.emory.org

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.

• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295853174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CAROLINAS WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158022",
            "telephone_number": "678-817-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365B CLIFTON RD NE",
            "address_2": "SUITE1400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-4898",
            "fax_number": "404-778-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TRACY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "CANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "R092714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "CARR",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rometta E Powell, D.D.S.
• Staisha Powell
• Susan Powell, LMT
• Taneshia Lashann Powell, RN
• Thomas Stephen Powell III, M.D.
• Wesley Dean Powell, D.D.S., M. S.
• Power Atlanta Inc
• Katherine Finney Power, PHARMACIST
• Powerback Rehabilitation LLC
• Powers Ferry Family Dentistry, PDP, LLC

• Adult Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.