Active NPI
Carolyn Huff
- Community Health Worker
- Jesup, GA
National Provider Identifier
1629430202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 292 E Cherry St Ste 5
Jesup, GA 31546-4613 - Phone
- (912) 715-7022
- Fax
- (912) 303-7143
- NPI assigned
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
292 E Cherry St Ste 5
Jesup, GA 31546-4613
Mailing address
292 E Cherry St Ste 5
Jesup, GA 31546-4613
Phone (912) 715-7022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1629430202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 E CHERRY ST STE 5",
"city": "JESUP",
"state": "GA",
"postal_code": "315464613",
"telephone_number": "912-715-7022",
"fax_number": "912-303-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 E CHERRY ST STE 5",
"city": "JESUP",
"state": "GA",
"postal_code": "315464613",
"telephone_number": "912-715-7022",
"fax_number": "912-303-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFF",
"first_name": "CAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jesup, GA
- Hospital Authority of Wayne County Georgia
- Hospital Authority of Wayne County, Georgia
- Hospital Authority of Wayne County, Georgia
- Amber Brooke Boatright Howard, APRN, FNP-C
- Mandy D. Brinson Hubbard, FNP
- Teresa Dianne Hutson, CRNA
- Internal Medicine of Southeast Georgia
- J. H. Harvey, Co., LLC
- Kara B Jackson, PT, DPT
- Tamia Destiny Jackson, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.