Jana A Carroll

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PE1443 Issued in TN

Practice address

765 Florence Rd
Savannah, TN 38372-3451

Phone

(731) 925-2300

Fax

(731) 925-2157

NPI assigned

Jun 23, 2006

Last updated

May 11, 2010By 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

Other identifiers 2

Other names 1

• Jana Adkisson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1609802537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300",
            "fax_number": "731-925-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 FLORENCE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723451",
            "telephone_number": "731-925-2300",
            "fax_number": "731-925-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JANA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "PE1443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4174593",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "ADKISSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carroll Pharmacy (Carroll Pharmacy PLLC)
• Carroll Pharmacy
• Benjamin Carroll
• David Allen Carroll, DOCTOR OF PHARMACY
• Jacob C Carroll, CRNA
• Betty Amelia Carter, FNP
• Julie Childers, PHARMD
• Brittany Clausel
• Jordan Matthew Clayton, NP-C
• Coastal Medical and Anesthesia, Inc

• Mental Health Counselor in Savannah, TN
• Providers in Savannah, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.