Individual provider Active NPI

Carri Livingston

  • Family Nurse Practitioner
  • Byron, GA
National Provider Identifier
1740875368
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP233528 Issued in GA
Practice address
6011 Watson Blvd Ste 380
Byron, GA 31008-6657
Phone
(478) 304-3006
Fax
(478) 304-3008
NPI assigned
Mar 5, 2021
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 APRN-NP233528 GA Primary

Addresses

Primary practice location

6011 Watson Blvd Ste 380
Byron, GA 31008-6657

Mailing address

6011 Watson Blvd Ste 380
Byron, GA 31008-6657
Phone (478) 304-3006

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
I20210628000475 GA Practitioner - Nurse Practitioner 0042611139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP233528GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jun 22, 2021 Accepting new patients
Careconnect Health, Inc. CurrentSince Jun 22, 2021 Accepting new patients
Careconnect Health, Inc. CurrentSince Jun 23, 2024 Accepting new patients

Locations

6005 Watson Blvd
Ste 100
Byron, GA 31008
Phone (478) 699-1028

6011 Watson Blvd
Ste 380
Byron, GA 31008
Phone (478) 304-3006

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1740875368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 WATSON BLVD STE 380",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086657",
            "telephone_number": "478-304-3006",
            "fax_number": "478-304-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 WATSON BLVD STE 380",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086657",
            "telephone_number": "478-304-3006",
            "fax_number": "478-304-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "CARRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP233528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

Verify at the official NPI Registry.