Active NPI
Deborah Elizabeth Carpenter, MS, RN, WHCNP
- Women's Health Nurse Practitioner
- Cumming, GA
National Provider Identifier
1659479376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN095425
- Practice address
- 1628 Market Place Blvd
Cumming, GA 30041-7927 - Phone
- (404) 754-1068
- Fax
- (470) 297-8032
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN095425 | GA | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | CAR1-0429-5727 | GA |
Addresses
Primary practice location
1628 Market Place Blvd
Cumming, GA 30041-7927
Mailing address
6415 Hampton Creek Dr
Cumming, GA 30041-4031
Phone (404) 754-1068
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)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAR1-0429-5727 | GA | MD | Women's Health Nurse Practitioner |
| RN095425 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cpmobgyn | Current | Accepting new patients |
Locations
1628 Market Place Blvd
Cumming, GA 30041
Phone (770) 292-9982
Interoperability endpoints
- deborah.carpenter@co-ga.direct.office.nextgen.com
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.
-
- Health Service Clinic/Center
- Cumming, GA
- NPI 1205607801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1659479376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 HAMPTON CREEK DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300414031",
"telephone_number": "404-754-1068",
"fax_number": "470-297-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 MARKET PLACE BLVD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417927",
"telephone_number": "404-754-1068",
"fax_number": "470-297-8032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "DEBORAH",
"middle_name": "ELIZABETH",
"credential": "MS, RN, WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN095425",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "CAR1-0429-5727",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.