Makayla A Carson, DNP, FNP-C
Individual provider Active NPI Family Medicine Physician · Locust Grove, GA
NPI 1902589237 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1902589237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 278559 (GA)
- Practice address
- 4837 Bill Gardner Pkwy
Locust Grove, GA 30248-3735 - Phone
- (770) 461-3776
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20231006001094 | GA | Practitioner - Nurse Practitioner | 1658726997 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278559 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Immediate Care FP, LLC | Family Medicine | Current |
Accepting new patients |
Locations
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 278559 | GA | Yes |
Addresses
Primary practice location
4837 Bill Gardner Pkwy
Locust Grove, GA 30248-3735
Mailing address
2800 Keystone Ave
Lithonia, GA 30058-4110
Phone (478) 484-4193
Other providers in Locust Grove, GA
- Business Enterprise
- Hope M Canty
- Carenova Inc
- Mahlory Carey
- Erica Zanae Carmouche
- Cliford Charles
- Roshonda R Chatman
- Andjie Nneka Cherichel
- Aisha Cherry
- Comforcare Clayton Henry LLC
All providers in Locust Grove, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. 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.