Individual provider Active NPI

Jarielle Carter, NP-C

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1659926756
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218655 Issued in GA
Practice address
1860 Watson Blvd
Warner Robins, GA 31093-3612
Phone
(478) 225-9001
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN218655 GA Primary

Addresses

Primary practice location

1860 Watson Blvd
Warner Robins, GA 31093-3612

Mailing address

1860 Watson Blvd
Warner Robins, GA 31093-3612
Phone (478) 225-9001

Other identifiers 2

IdentifierTypeStateIssuer
F05190005OtherGANP CERTIFICATION NUMBER
RN218655OtherGAGEORGIA STATE NP LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217002426 GA Practitioner - Nurse Practitioner 7810321205 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Dec 13, 2024 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Dec 13, 2024 Accepting new patients
All Care Medical Associates, LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

2929 Watson Blvd
Ste 2
Warner Robins, GA 31093
Phone (720) 924-6482

1860 Watson Blvd
Warner Robins, GA 31093
Phone (478) 225-9001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBEICD
  • Direct secure messaging: jarielle.carter.1@22854.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1659926756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933612",
            "telephone_number": "478-225-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933612",
            "telephone_number": "478-225-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JARIELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATION NUMBER",
            "identifier": "F05190005",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE NP LICENSURE",
            "identifier": "RN218655",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.