Carter Adams, NP-BC
Individual provider Active NPI Nurse Practitioner · Valdosta, GA
NPI 1497535637 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1497535637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN272237 (GA)
- Practice address
- 2501 N Patterson St
Valdosta, GA 31602-1785 - Phone
- (229) 433-1000
- NPI assigned
- Oct 4, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Georgia Emergency Medicine Associates PC
SGMC Affiliated Services LLC
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 433-1000
4256 N Valdosta Rd
Valdosta, GA 31602-6814
Phone (229) 433-8200
Hospital & facility affiliations
- SGMC Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240205002893 | GA | Practitioner - Nurse Practitioner | 8628411840 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Emergency Medicine Associates PC | Current |
Accepting new patients | |
| SGMC Affiliated Services LLC | Current |
Accepting new patients |
Locations
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
4256 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 242-1234
520 Griffin Ave
Ste A
Valdosta, GA 31601
Phone (229) 433-7340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN272237 | GA | Yes |
Addresses
Primary practice location
2501 N Patterson St
Valdosta, GA 31602-1785
Mailing address
3836 Zaun Cir
Valdosta, GA 31605-7969
Phone (912) 381-4404
Other providers in Valdosta, GA
- Activear, LLC
- Acute Dialysis
- Acute Rehab Equipment Inc
- Simon Adames
- Bradley Olin Adams
- Cornelia Adams
- Debra Ann Adams
- Joan Adams
- Katharine Susan Adams
- Lynnette Adams
All providers in Valdosta, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.