Erica Carelock

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

111 Aviary LN
Dallas, GA 30132-7808

Phone

(678) 993-5191

NPI assigned

Apr 16, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1366238321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 AVIARY LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301327808",
            "telephone_number": "786-993-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AVIARY LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301327808",
            "telephone_number": "678-993-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARELOCK",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Carden
• Kristin A Carder, SLP
• Cardiac Disease Specialists, PC
• Care First LLC
• Carebloom Home Healthcare Services, LLC
• Caring Hearts Psychiatry Inc
• Carlos E. Pessoa, OD, LLC (Family Vision Center)
• Carlos E. Pessoa, OD, LLC
• Rebecca Abigail Carroll, DCLS
• Tanisha Nicole Kini Carroll

• Community Health Worker in Dallas, GA
• Providers in Dallas, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.