Individual provider Active NPI

Andrea Carpenter, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ft Oglethorpe, GA
National Provider Identifier
1316735491
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN257719 Issued in GA
Practice address
1638 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4016
Phone
(706) 841-0500
Fax
(706) 841-0502
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN257719 GA Primary

Addresses

Primary practice location

1638 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4016

Mailing address

1638 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4016
Phone (706) 841-0500

Other practice location 1

1345 Redmond Cir NW
Rome, GA 30165-1307
Phone (910) 742-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251020002085 GA Practitioner - Nurse Practitioner 4082102322 Reassigns benefits to 4 organizations
I20260519004368 TN Practitioner - Nurse Practitioner 4082102322 Reassigns benefits to 2 organizations

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
Vitalis Behavioral HealthGroup PAC ID 8729414891, 6 clinicians

Practice addresses (Care Compare)

1638 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4016
Phone (706) 841-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN257719GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalis Behavioral Health Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Lifesource of North Carolina Single Specialty CurrentSince Apr 1, 2026 Accepting new patients
Andrea L. Carpenter PLLC Single Specialty Current Accepting new patients
Lifesource of North Carolina Single Specialty CurrentSince Apr 1, 2026 Accepting new patients

Locations

1638 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 841-0500

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

Organizations & group practices 6

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1316735491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424016",
            "telephone_number": "706-841-0500",
            "fax_number": "706-841-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 BATTLEFIELD PKWY",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424016",
            "telephone_number": "706-841-0500",
            "fax_number": "706-841-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Redmond Cir NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651307",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ANDREA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN257719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.