Individual provider Active NPI

Caroline Blalock Wright, DNP, FNP-BC

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1760023642
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN235906 Issued in GA
Practice address
3624 J Dewey Gray Cir Ste 103
Augusta, GA 30909-6585
Phone
(706) 651-6700
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 RN235906 GA Primary

Addresses

Primary practice location

3624 J Dewey Gray Cir Ste 103
Augusta, GA 30909-6585

Mailing address

3624 J Dewey Gray Cir Ste 103
Augusta, GA 30909-6585

Other practice location 1

1207 Anthony Rd
Augusta, GA 30904-4401
Phone (706) 306-9720

Other practice location 2

1 Freedom Way
Augusta, GA 30904-6258
Phone (706) 306-9720

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
I20210810000459 GA Practitioner - Nurse Practitioner 5395149629 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
Radiation Oncology AssociatesGroup PAC ID 5698769180, 5 clinicians

Practice addresses (Care Compare)

3624 J Dewey Gray Cir
Suite 103
Augusta, GA 30909-6585
Phone (706) 650-6700

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Radiation Oncology Associates CurrentSince Aug 1, 2021 Accepting new patients
Au Medical Associates Inc Past Accepting new patients
Doctors Hospital of Augusta, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

1125 Troupe St
Augusta, GA 30904
Phone (706) 738-7977

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

3624 J Dewey Gray Cir
Ste 103
Augusta, GA 30909
Phone (706) 650-6700

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

821 Saint Sebastian Way
Augusta, GA 30912
Phone (706) 650-6700

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1760023642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 J DEWEY GRAY CIR STE 103",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 J DEWEY GRAY CIR STE 103",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096585",
            "telephone_number": "706-651-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 Anthony Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309044401",
            "country_code": "US",
            "telephone_number": "706-306-9720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Freedom Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309046258",
            "country_code": "US",
            "telephone_number": "706-306-9720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CAROLINE",
        "middle_name": "BLALOCK",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN235906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.