Active NPI
Tara L. Carter
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN196324
- Practice address
- 4088 Butternut PL
Atlanta, GA 30349-8107 - Phone
- (864) 356-6753
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN196324 | GA | Primary |
Addresses
Primary practice location
4088 Butternut PL
Atlanta, GA 30349-8107
Mailing address
4088 Butternut PL
Atlanta, GA 30349-8107
Phone (864) 356-6753
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161027002379 | GA | Practitioner - Nurse Practitioner | 2769760685 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2620 Elm Hill Pike
Nashville, TN 37214-3108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN196324 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC of Georgia LLC | Family | Current | Accepting new patients |
Locations
455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776
3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170
3240 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 433-3420
2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Jefferson, GA
- NPI 1750677241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1528514155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4088 BUTTERNUT PL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303498107",
"telephone_number": "864-356-6753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4088 BUTTERNUT PL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303498107",
"telephone_number": "864-356-6753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TARA",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN196324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.