Individual provider Active NPI

Tierra Carter, NP

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1720619554
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN260548 Issued in GA
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

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 328 clinicians

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

OrganizationSpecialtyStatusNew patients
Coastal Care Inc CurrentSince Aug 14, 2023 Accepting new patients
T Carter LLC Current Accepting new patients
Apex Health and Wellness LLC Current Accepting new patients
NPI 1568108850 CurrentSince Mar 28, 2022 Accepting new patients
Southern Family Walk-in Family CurrentSince Mar 28, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.