Individual provider Active NPI

Carletta Petronella Weatherspoon, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1720328362
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP267270 Issued in GA
Practice address
2292 Peachtree Rd NW
Atlanta, GA 30309-1147
Phone
(404) 996-0120
Fax
(404) 351-6762
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F337753-1 NY
Family Nurse Practitioner 363LF0000X APRN-NP267270 GA Primary

Addresses

Primary practice location

2292 Peachtree Rd NW
Atlanta, GA 30309-1147

Mailing address

160 Reserve Dr
Covington, GA 30014-5898
Phone (516) 317-7337

Other practice location 1

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 377-0931

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
I20190923003283 GA Practitioner - Nurse Practitioner 1759529258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1280 Dogwood Dr SE
Conyers, GA 30013-5046
Phone (404) 994-4662

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2410 Ingleside Ave
Macon, GA 31204-2036
Phone (678) 695-6960

5239 Hwy 278 NE
Covington, GA 30014-2671
Phone (678) 660-5106

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337753NYMDLicensed Practical Nurse
APRN-NP267270GAMDFamily Nurse Practitioner
F337753-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Feb 1, 2021 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Jun 26, 2019 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

696 Highway 20 S
Lawrenceville, GA 30046
Phone (770) 963-0927

Organizations & group practices 2

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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1720328362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RESERVE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300145898",
            "telephone_number": "516-317-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091147",
            "telephone_number": "404-996-0120",
            "fax_number": "404-351-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115721551",
            "country_code": "US",
            "telephone_number": "516-377-0931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERSPOON",
        "first_name": "CARLETTA",
        "middle_name": "PETRONELLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337753-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP267270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.