Gloria J Carusi, APRN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN044369 NP Issued in GA

Practice address

110 Lloyd Ave
Tyrone, GA 30290-2124

Phone

(770) 486-1200

Fax

(770) 486-3697

NPI assigned

Apr 25, 2007

Last updated

Jul 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Atlanta Primary Care Peachtree, PC

  • Specialist
  • Newnan, GA
  • NPI 1477573293
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1497974414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LLOYD AVE",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902124",
            "telephone_number": "770-486-1200",
            "fax_number": "770-486-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LLOYD AVE",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902124",
            "telephone_number": "770-486-1200",
            "fax_number": "770-486-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSI",
        "first_name": "GLORIA",
        "middle_name": "J",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN044369  NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Victoria Buchanan
• Heather Cantrell, C.N.M.
• Melissa Capecelatro, BCBA
• Carlos Ramos DMD; PC
• Margery McMichael Carr, CNM
• Shohna Castellanos, PHARMD
• Charisse L. Caswell, DMD
• Center for Family Psychiatry
• Anna Taylor Chapman, PHARMD
• Madison Scott Chase, SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.