Individual provider Active NPI

Carla M Price, M.D.

  • Family Medicine Physician
  • Dacula, GA
National Provider Identifier
1700984432
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
049410 Issued in GA
Practice address
3575 Braselton Hwy
Dacula, GA 30019-1155
Phone
(770) 848-5300
Fax
(770) 848-5301
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 049410 GA Primary

Addresses

Primary practice location

3575 Braselton Hwy
Dacula, GA 30019-1155

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

1689 Old Pendergrass Rd Ste 340
Jefferson, GA 30549-2716
Phone (706) 708-2344

Other identifiers 2

IdentifierTypeStateIssuer
725588860AMedicaidGA
870335OtherGABLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000463 GA Practitioner - Family Practice 7618022484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1689 Old Pendergrass Rd
Suite 340
Jefferson, GA 30549-2716
Phone (706) 708-2344

3575 Braselton Hwy
Dacula, GA 30019-1027
Phone (770) 848-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049410GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caap Medical Group Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Oct 23, 2025 Accepting new patients
Georgia Heart Institute LLC PastSince Oct 23, 2025 Accepting new patients

Locations

3575 Braselton Hwy
Dacula, GA 30019
Phone (770) 848-5300

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1689 Old Pendergrass Rd
Ste 340
Jefferson, GA 30549
Phone (706) 708-2344

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.

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1700984432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 BRASELTON HWY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191155",
            "telephone_number": "770-848-5300",
            "fax_number": "770-848-5301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1689 Old Pendergrass Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "GA",
            "postal_code": "305492716",
            "country_code": "US",
            "telephone_number": "706-708-2344",
            "fax_number": "706-708-2342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "CARLA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "725588860A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "870335",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.