Individual provider Active NPI

Heather A Carl, NP

  • Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1881602274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN144436 Issued in GA
Practice address
1295 Hembree Rd Ste 101
Roswell, GA 30076-5721
Phone
(404) 920-4950
Fax
(404) 920-4959
NPI assigned
Aug 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN144436 GA Primary

Addresses

Primary practice location

1295 Hembree Rd Ste 101
Roswell, GA 30076-5721

Mailing address

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone (404) 920-4950

Other identifiers 2

IdentifierTypeStateIssuer
RN144436OtherGALISENCE #
9272408OtherFLLICENSE

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
I20041215000408 GA Practitioner - Nurse Practitioner 8022075696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1295 Hembree Rd
Roswell, GA 30076-5721
Phone (770) 929-9033

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
71.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Interventional Spine and Pain Management Center PC CurrentSince Nov 10, 2021 Accepting new patients
The Interventional Spine and Pain Management Center, PC CurrentSince Nov 10, 2021 Accepting new patients
CPM Labs, LLC Current Accepting new patients
Interventional Spine and Pain Management Center, PC Past Accepting new patients
Southeastern Pain Specialists, P.C. Past Accepting new patients

Locations

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

1295 Hembree Rd
Roswell, GA 30076
Phone (770) 754-3108

1295 Hembree Rd
Ste 101
Roswell, GA 30076
Phone (770) 752-9499

Interoperability endpoints

  • Direct secure messaging: heather.carl@ispm.eclinicaldirectplus.com

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, 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881602274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE",
            "address_2": "STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30326",
            "telephone_number": "404-920-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE RD STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765721",
            "telephone_number": "404-920-4950",
            "fax_number": "404-920-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN144436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENCE #",
            "identifier": "RN144436",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "9272408",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.