Active NPI
Tierra Carter, NP
- Family Nurse Practitioner
- Waycross, GA
National Provider Identifier
1720619554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN260548
- Practice address
- 1610 Alice St
Waycross, GA 31501-4533 - Phone
- (912) 590-4366
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN260548 | GA | Primary |
Addresses
Primary practice location
1610 Alice St
Waycross, GA 31501-4533
Mailing address
1610 Alice St
Waycross, GA 31501-4533
Phone (912) 590-4366
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220407002530 | GA | Practitioner - Nurse Practitioner | 0840686465 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peachtree Immediate Care FP, LLC
Practice addresses (Care Compare)
1912 Memorial Dr
Waycross, GA 31501-0913
Phone (912) 283-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Care Inc | Current | Accepting new patients | |
| T Carter LLC | Current | Accepting new patients | |
| Apex Health and Wellness LLC | Current | Accepting new patients | |
| NPI 1568108850 | Current | Accepting new patients | |
| Southern Family Walk-in | Family | Current | Accepting new patients |
Locations
73 SW Park Ave
Ste B
Baxley, GA 31513
Phone (912) 705-8050
1610 Alice St
Waycross, GA 31501
Phone (912) 285-1610
1405 Alice St
Waycross, GA 31501
Phone (877) 249-6110
Interoperability endpoints
- https://api.platform.athenahealth.com/22730/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Waycross, GA
- NPI 1881558641
-
- Primary Care Clinic/Center
- Waycross, GA
- NPI 1578429213
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1720619554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014533",
"telephone_number": "912-590-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014533",
"telephone_number": "912-590-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TIERRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN260548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.