Joanna Lynn Carter, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5009353 Issued in NC

Practice address

4944 Greensboro Rd
Ridgeway, VA 24148-3390

Phone

(276) 956-2233

Fax

(276) 956-1629

NPI assigned

Mar 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Martinsville Henry County Coalition for Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Bassett, VA
  • NPI 1063608081
  Medicare reassignment NPD
• Martinsville Henry County Coalition for Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Stuart, VA
  • NPI 1619707221
  NPD
• Martinsville Henry County Coalition for Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Ridgeway, VA
  • NPI 1689182164
  NPD

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1477094480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 GREENSBORO RD",
            "city": "RIDGEWAY",
            "state": "VA",
            "postal_code": "241483390",
            "telephone_number": "276-956-2233",
            "fax_number": "276-956-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 GREENSBORO RD",
            "city": "RIDGEWAY",
            "state": "VA",
            "postal_code": "241483390",
            "telephone_number": "276-956-2233",
            "fax_number": "276-956-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JOANNA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176128",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makunda Abdul-Mbacke, MD
• Melissa Clark Bolt, LPN
• Clyde Walcey Burris, III III, D.D.S.
• Chan M Park Family Practice
• Clyde Walcey Burris, III, D.D.S., P.C.
• Community Alternatives Virginia, Inc.
• Community Alternatives Virginia, Inc.
• Tamiya Davis

• Family Nurse Practitioner in Ridgeway, VA
• Providers in Ridgeway, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.