Carolyn Eaves, APRN, MSN-FNP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN199867 Issued in GA

Practice address

247 Northside Dr Ste B
Valdosta, GA 31602-1892

Phone

(229) 253-1206

NPI assigned

Dec 21, 2019

Last updated

Apr 21, 2025By 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 2

Addresses

Other names 1

• Carolyn Eaves Former name

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Wakulla Urgent Care & Diagnostic Center PLC

  • Rural Health Clinic/Center
  • Crawfordville, FL
  • NPI 1538349469
  Medicare reassignment NPD
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocilla, GA
  • NPI 1891978854
  Medicare reassignment
• Wakulla Urgent Care & Diagnostic Center PLC

  • General Practice Physician
  • Crawfordville, FL
  • NPI 1215509344
  NPD

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1700425758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317740749",
            "telephone_number": "229-468-9166",
            "fax_number": "229-468-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 NORTHSIDE DR STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021892",
            "telephone_number": "229-253-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "CAROLYN",
        "credential": "APRN, MSN-FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN199867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "EAVES",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Joseph Eanes, M.D.
• Sharon Marie Eanes, RN
• Ear, Nose, Throat, and Allergy Associates of South Georgia PC
• Derrick Leigh Easom
• Jesse Blair Eason, PA-C
• Tabitha Eaves
• Tayler Robin Ebert, APRN. FNP-C
• Powella Samson Ebosa
• Sherrell Echols
• Hallie Eckdahl, MED/CCC-SLP

• Family Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.