Karla Ann Groah
Individual provider Active NPI Family Nurse Practitioner · Mount Perry, OH
NPI 1821893033 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1821893033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0034900 (OH)
- Practice address
- 10825 Township Road 49
Mount Perry, OH 43760-9779 - Phone
- (740) 221-6550
- Fax
- (833) 949-3972
- NPI assigned
- Feb 13, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Country Drive Inn Medical Practice
Practice addresses (Care Compare)
10825 Township Rd
Suite 49
Mount Perry, OH 43760-9779
Phone (740) 221-6550
Hospital & facility affiliations
- Genesis Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250402002773 | OH | Practitioner - Nurse Practitioner | 0941723654 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0034900 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Drive Inn Medical Practice | Current |
Accepting new patients | |
| Country Drive Inn Medical Practice | Family | Current |
Accepting new patients |
Locations
10825 Township Road 49
Mount Perry, OH 43760
Phone (740) 221-6550
Interoperability endpoints
- karla.groah.1@27436.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0034900 | OH | Yes |
Addresses
Primary practice location
10825 Township Road 49
Mount Perry, OH 43760-9779
Mailing address
533 Groah Rd
Stockport, OH 43787-9373
Phone (740) 624-6792
Other providers in Mount Perry, OH
- Terri Lynn Bailey
- Country Drive Inn Medical Practice
- Country Drive Inn Medical Practice
- Taleigh Cierra Louise Fitch
- Marsha A Foreman II
- Debra Sue Helser
- Misty Kuhn
- Emily Ann Mason-Ferguson
- Caitlin Elizabeth McGarvey
- Kathryn May Rhodes
All providers in Mount Perry, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.