Individual provider Active NPI

Carolyn Marie Sironen, NP-C

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1972727204
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP001540 Issued in GA
Practice address
974 S Enota Dr NE
Gainesville, GA 30501-2429
Phone
(770) 536-7546
Fax
(678) 323-2006
NPI assigned
Apr 11, 2007
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 1971362 FL
Family Nurse Practitioner 363LF0000X 20277 SC
Family Nurse Practitioner 363LF0000X GAA-NP001540 GA Primary

Addresses

Primary practice location

974 S Enota Dr NE
Gainesville, GA 30501-2429

Mailing address

974 S Enota Dr NE
Gainesville, GA 30501-2429
Phone (770) 536-7546

Other practice location 1

134 Ansley Dr Ste 502
Dahlonega, GA 30533-1641
Phone (770) 536-7546

Other practice location 2

225 Adams Dr
Demorest, GA 30535-4577
Phone (770) 536-7546

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
I20230906004060 GA Practitioner - Nurse Practitioner 7012205453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroderm, P.C.Group PAC ID 8729076443, 33 clinicians

Practice addresses (Care Compare)

225 Adams Dr
Demorest, GA 30535-4577
Phone (770) 536-7546

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 1971362FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metroderm, P.C. Current Accepting new patients
Metroderm, P.C. CurrentSince Sep 18, 2023 Accepting new patients
Gainesville Urology, PC PastSince Sep 18, 2023 Accepting new patients

Locations

134 Ansley Dr
Ste 502
Dahlonega, GA 30533
Phone (770) 536-7546

225 Adams Dr
Demorest, GA 30535
Phone (770) 532-8438

974 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 536-7546

875 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 257-9933

Interoperability endpoints

  • Direct secure messaging: csironen@negeorgia.emadirect.md

Organizations & group practices 3

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1972727204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012429",
            "telephone_number": "770-536-7546",
            "fax_number": "678-323-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012429",
            "telephone_number": "770-536-7546",
            "fax_number": "678-323-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Ansley Dr Ste 502",
            "address_purpose": "LOCATION",
            "city": "Dahlonega",
            "state": "GA",
            "postal_code": "305331641",
            "country_code": "US",
            "telephone_number": "770-536-7546",
            "fax_number": "678-343-2006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Adams Dr",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354577",
            "country_code": "US",
            "telephone_number": "770-536-7546",
            "fax_number": "678-343-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRONEN",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 1971362",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20277",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.