Caroline Anderson, FNP – Family Nurse Practitioner

Key facts

NPI: 1679713747
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: RN154703 (GA)
Practice address: 278 S Main St
Baxley, GA 31513-0102
Phone: (912) 367-9559
Fax: (912) 367-9554
NPI assigned: Mar 2, 2009
Sex: Female
Sole proprietor: Yes

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.

Harrison C Carter MD PC Specialist · Alma, GA · NPI 1619174091

Medicare reassignment Care Compare group NPD FAMILY · GA

Hospital & facility affiliations 1

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

Bacon County Health Services, Inc. Critical Access Hospital · Alma, GA · NPI 1629185285

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2006
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Harrison C Carter MD PC (4 clinicians)

Practice addresses (Care Compare)

1126 TH 12TH St
Alma, GA 31510
Phone (912) 632-7300

Hospital & facility affiliations

Bacon County Hospital Hospital · Alma, GA · CCN 111327

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20090608000395	GA	Practitioner - Nurse Practitioner	9032269311	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
RN154703	GA	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Harrison C Carter MD PC	Family	Current since Mar 1, 2009	Accepting new patients

Locations

1126 W 12th St
Alma, GA 31510
Phone (912) 632-0884

1093 W Parker St
Baxley, GA 31513
Phone (912) 367-9559

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	RN154703	GA	Yes

Addresses

Primary practice location

278 S Main St
Baxley, GA 31513-0102

Mailing address

278 South Main Street
Baxley, GA 31513
Phone (912) 367-9559

Other identifiers

Identifier	Type	State	Issuer
329161117A	Medicaid	GA

Other providers in Baxley, GA

All providers in Baxley, GA · Family Nurse Practitioner in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.