Carla Thomas Cole, LICENSE PRACTICAL NU

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN036734 Issued in GA

Practice address

1203 Bethune Drive
Valdosta, GA 31601-6277

Phone

(850) 614-0862

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1649030313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 EAST ROGER STREET",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31601",
            "telephone_number": "229-300-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 BETHUNE DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316016277",
            "telephone_number": "850-614-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CARLA",
        "middle_name": "THOMAS",
        "name_prefix": "Ms.",
        "credential": "LICENSE PRACTICAL NU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN036734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Cohan, DO
• Alexander Ethan Cohen, DO
• Tiffany Cohen
• Charles Coker, LCSW
• Cole Dermatology LLC
• John Andrew Cole, M.D.
• Lacey Alexis Cole
• Bradford Coleman
• Dakshaben Patel Coleman, ANP-BC
• Kathleen Elizabeth Coleman, MD

• Licensed Practical Nurse in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.