Individual provider Active NPI

Yaquisha Carter, ACAGNP

  • Acute Care Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1902453673
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN217327 Issued in GA
Practice address
1200 Memorial Dr
Dalton, GA 30720-2529
Phone
(404) 273-6697
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN217327 GA Primary

Addresses

Primary practice location

1200 Memorial Dr
Dalton, GA 30720-2529

Mailing address

2921 Lighthouse Way
Conyers, GA 30013-6746
Phone (404) 273-6697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191115000155 GA Practitioner - Nurse Practitioner 7618309550 Reassigns benefits to 2 organizations
I20210210001277 TX Practitioner - Nurse Practitioner 7618309550 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
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians
Pcca Texas Intensivists, PLLCGroup PAC ID 7517290109, 19 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1900 Pine St
Abilene, TX 79601-2432
Phone (800) 655-2656

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Aug 7, 2024 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Nov 1, 2020 Accepting new patients
Pcca Texas Intensivists, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Pittsburgh Critical Care Associates, Inc CurrentSince Sep 3, 2019 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

Organizations & group practices 4

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 5

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1902453673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 LIGHTHOUSE WAY",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136746",
            "telephone_number": "404-273-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MEMORIAL DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202529",
            "telephone_number": "404-273-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "YAQUISHA",
        "name_prefix": "Ms.",
        "credential": "ACAGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN217327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.