Active NPI
Carol Vile
- Registered Nurse
- Commerce, GA
National Provider Identifier
1376935759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN094073
- Practice address
- 648 Highway 334
Commerce, GA 30530-5987 - Phone
- (706) 336-3921
- Fax
- (706) 336-3960
- NPI assigned
- Feb 23, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN094073 | GA | Primary |
Addresses
Primary practice location
648 Highway 334
Commerce, GA 30530-5987
Mailing address
648 Highway 334
Commerce, GA 30530-5987
Phone (706) 336-3921
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 |
|---|---|---|---|
| RN094073 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JM Family Enterprises, Inc | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Commerce, GA
- NPI 1891185302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1376935759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 HIGHWAY 334",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305305987",
"telephone_number": "706-336-3921",
"fax_number": "706-336-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 HIGHWAY 334",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305305987",
"telephone_number": "706-336-3921",
"fax_number": "706-336-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILE",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN094073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.