Individual provider Active NPI

Carolyn Joy Fletcher

  • Adult Health Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1679073464
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN119019 Issued in GA
Practice address
2054 Watson Blvd
Warner Robins, GA 31093-3634
Phone
(478) 918-0770
NPI assigned
Feb 18, 2018
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 119019 GA
Adult Health Nurse Practitioner 363LA2200X RN119019 GA Primary

Addresses

Primary practice location

2054 Watson Blvd
Warner Robins, GA 31093-3634

Mailing address

2054 Watson Blvd
Warner Robins, GA 31093-3634
Phone (478) 918-0770

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
I20190724003327 GA Practitioner - Nurse Practitioner 9537495858 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Hospitalist Group LLCGroup PAC ID 2769813906, 48 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN119019GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince May 17, 2019 Accepting new patients
Careconnect Health, Inc. CurrentSince Dec 15, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jul 1, 2019 Accepting new patients
Careconnect Health, Inc. CurrentSince Dec 15, 2020 Accepting new patients
Houston Hospitalist Group LLC CurrentSince Jul 20, 2021 Accepting new patients
Houston Hospitalist Group LLC Current Accepting new patients

Locations

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1679073464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933634",
            "telephone_number": "478-918-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933634",
            "telephone_number": "478-918-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "CAROLYN",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "GA",
            "license": "119019",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN119019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.