Individual provider Active NPI

Carly Lynn Georgianna, FNP-BC

  • Family Nurse Practitioner
  • Denville, NJ
National Provider Identifier
1306640438
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15303100 Issued in NJ
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

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
26NJ15303100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.