Individual provider Active NPI

Charity Rena Joiner

  • Family Nurse Practitioner
  • Eastman, GA
National Provider Identifier
1861982670
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP183068 Issued in GA
Practice address
1120 Indian Dr
Eastman, GA 31023-7670
Phone
(478) 354-4220
Fax
(478) 354-4225
NPI assigned
May 16, 2018
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP183068 GA Primary
Family Medicine Physician 207Q00000X RN183068 GA

Addresses

Primary practice location

1120 Indian Dr
Eastman, GA 31023-7670

Mailing address

51 Woodlakes Dr
Eastman, GA 31023-2011
Phone (478) 231-0978

Other practice location 1

200 Industrial Blvd
Dublin, GA 31021-2997
Phone (478) 274-3458 ext. 3458

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
I20181001000997 GA Practitioner - Nurse Practitioner 2567713563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1006 -1 Hillcrest Pkwy
Dublin, GA 31021-4259

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416

2490 Riverside Dr
Suite B
Macon, GA 31204-1788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP183068GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Surgery & Sleep Apnea Treatment Ctr. LLC CurrentSince Jan 14, 2020 Accepting new patients

Locations

102 Corporate Sq
Ste G
Dublin, GA 31021
Phone (478) 420-0456

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

Organizations & group practices 1

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1861982670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WOODLAKES DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310232011",
            "telephone_number": "478-231-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 INDIAN DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310237670",
            "telephone_number": "478-354-4220",
            "fax_number": "478-354-4225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212997",
            "country_code": "US",
            "telephone_number": "478-274-3458 x3458",
            "fax_number": "478-274-3468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOINER",
        "first_name": "CHARITY",
        "middle_name": "RENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP183068",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN183068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.