Carnivore Nutrition

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CARNIVORE NUTRITION

Practice address

200 Chilton PL
Bonaire, GA 31005-3889

Phone

(478) 955-8515

NPI assigned

Oct 30, 2023

Last updated

Oct 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Williams, NPNPI 1851772867

Title

Owner

Phone

(478) 955-8515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy E Williams, NP-C

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1851772867
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1467224725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 FOXBOROUGH LN",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053663",
            "telephone_number": "478-955-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHILTON PL",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053889",
            "telephone_number": "478-955-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNIVORE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-955-8515",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ryan Buchanan
• Kelli Burns, LMSW
• Nathaniel Butts, NREMT, PARAMEDIC
• Melanie Anne Callahan, RN
• Alanna Camps, IBCLC
• Ashlee Zackeru Chafin, CRNA
• Cathleen Ann Cleary, M.D.
• Edmond Thomas Coker, COTA/L
• Courtney Coley, LMT, CD, CPD, CBC
• Karena Collins, NP

• Nurse Practitioner in Bonaire, GA
• Providers in Bonaire, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.