Active NPI
Carly Lynn Georgianna, FNP-BC
- Family Nurse Practitioner
- Denville, NJ
National Provider Identifier
1306640438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15303100
- Practice address
- 10 Broadway
Denville, NJ 07834-2856 - Phone
- (973) 625-7734
- NPI assigned
- Apr 1, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ15303100 | NJ | Primary |
Addresses
Primary practice location
10 Broadway
Denville, NJ 07834-2856
Mailing address
10 Broadway
Denville, NJ 07834-2856
Phone (973) 625-7734
Other practice location 1
3617 Route 94
Hamburg, NJ 07419-1196
Phone (973) 827-1918
Other names 1
- Carly Lynn Jameson
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15303100 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consensus Medical Group LLC | Past | Accepting new patients |
Interoperability endpoints
- carly.jameson.1@18614.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Manasquan, NJ
- NPI 1811466881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1306640438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BROADWAY",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342856",
"telephone_number": "973-625-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BROADWAY",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342856",
"telephone_number": "973-625-7734"
}
],
"practiceLocations": [
{
"address_1": "3617 Route 94",
"address_purpose": "LOCATION",
"city": "Hamburg",
"state": "NJ",
"postal_code": "074191196",
"country_code": "US",
"telephone_number": "973-827-1918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGIANNA",
"first_name": "CARLY",
"middle_name": "LYNN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15303100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "JAMESON",
"middle_name": "LYNN",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.