Active NPI
Carolyn Dailey, R.N.
- Registered Nurse
- Macon, GA
National Provider Identifier
1750548079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-057252
- Practice address
- 304 Pierce Ave
Macon, GA 31204-2422 - Phone
- (478) 751-2825
- Fax
- (478) 751-2897
- NPI assigned
- May 22, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-057252 | GA | Primary |
Addresses
Primary practice location
304 Pierce Ave
Macon, GA 31204-2422
Mailing address
304 Pierce Ave
Macon, GA 31204-2422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58-0622971 | Other | GA | TAX I.D. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-057252 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1750548079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 PIERCE AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312042422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 PIERCE AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312042422",
"telephone_number": "478-751-2825",
"fax_number": "478-751-2897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "CAROLYN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN-057252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.",
"identifier": "58-0622971",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.