Individual provider Active NPI

Carrie Ann Prowell Pixley, PA-C

  • Medical Physician Assistant
  • Watkinsville, GA
National Provider Identifier
1871663500
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
004692 Issued in GA
Practice address
1747 Langford Dr BLDG 400-105
Suite B
Watkinsville, GA 30677-7370
Phone
(706) 769-1100
Fax
(706) 310-9847
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 004692 GA Primary

Addresses

Primary practice location

1747 Langford Dr BLDG 400-105
Suite B
Watkinsville, GA 30677-7370

Mailing address

1747 Langford Dr BLDG 400-105
Watkinsville, GA 30677-7370
Phone (706) 769-1100

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
I20140206000417 GA Practitioner - Physician Assistant 3274762695 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1871663500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 LANGFORD DR BLDG 400-105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777370",
            "telephone_number": "706-769-1100",
            "fax_number": "706-310-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 LANGFORD DR BLDG 400-105",
            "address_2": "SUITE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777370",
            "telephone_number": "706-769-1100",
            "fax_number": "706-310-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROWELL PIXLEY",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.