Barbie Jenine Carpenter – Family Nurse Practitioner

Key facts

NPI: 1598896680
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 109260 (GA)
Practice address: 247 S Main St
Reidsville, GA 30453-4605
Phone: (912) 557-1000
Fax: (912) 644-5260
NPI assigned: Mar 8, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Southland Bainbridge Hospitalist Group, LLC Hospitalist Physician · Bainbridge, GA · NPI 1356735336

Medicare reassignment Care Compare group NPD GA
Bulloch County Board of Health Public Health or Welfare Agency · Statesboro, GA · NPI 1417985060

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Tattnall Hospital Company, LLC Critical Access Hospital · Reidsville, GA · NPI 1790942381

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2003
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Southland Bainbridge Hospitalist Group, LLC (54 clinicians)

Practice addresses (Care Compare)

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000

Hospital & facility affiliations

Optim Medical Center - Tattnall Hospital · Reidsville, GA · CCN 111323

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
I20040727000861	GA	Practitioner - Nurse Practitioner	3173593332	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
109260	GA	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Southland Bainbridge Hospitalist Group, LLC		Current since Feb 5, 2024	Accepting new patients
Bulloch County Board of Health		Past since Jan 1, 2019	Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	109260	GA	Yes

Addresses

Primary practice location

247 S Main St
Reidsville, GA 30453-4605

Mailing address

460 Mall Blvd
Ste B
Savannah, GA 31406-4801
Phone (912) 644-5300

Other providers in Reidsville, GA

All providers in Reidsville, GA · Family 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 Mar 11, 2016. 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.

Verify at the official NPI Registry.