Individual provider Active NPI

Carey Leigh Roberts, NP-C

  • Family Nurse Practitioner
  • Douglas, GA
National Provider Identifier
1407352735
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN225856 Issued in GA
Practice address
901 Connector 206 N
Douglas, GA 31533-7150
Phone
(912) 389-6732
Fax
(912) 393-1015
NPI assigned
Apr 4, 2018
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 RN225856 GA Primary

Addresses

Primary practice location

901 Connector 206 N
Douglas, GA 31533-7150

Mailing address

901 Connector 206 N
Douglas, GA 31533-7150
Phone (912) 389-6732

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNO INSURANCES

Other names 1

  • Carey Leigh Weldon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260310004935 GA Practitioner - Nurse Practitioner 7214410075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 60969
Savannah, GA 31420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CRH Physician Practices, LLC CurrentSince Dec 23, 2025 Accepting new patients

Locations

100 Doctors Dr
Ste F
Douglas, GA 31533
Phone (912) 383-4945

100 Doctors Dr
Ste G
Douglas, GA 31533
Phone (912) 384-6186

901 Connector 206 N
Douglas, GA 31533
Phone (912) 389-6732

Interoperability endpoints

  • Direct secure messaging: carey.roberts.1@9964.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1407352735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CONNECTOR 206 N",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315337150",
            "telephone_number": "912-389-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CONNECTOR 206 N",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315337150",
            "telephone_number": "912-389-6732",
            "fax_number": "912-393-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CAREY",
        "middle_name": "LEIGH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO INSURANCES",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "WELDON",
            "middle_name": "LEIGH",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.