Individual provider Active NPI

Carmen Campbell Trawick, FNP-BC

  • Family Nurse Practitioner
  • Georgetown, GA
National Provider Identifier
1982939070
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN131277 Issued in GA
Practice address
23 Old School Rd
Georgetown, GA 39854-4627
Phone
(229) 334-9353
Fax
(229) 334-6983
NPI assigned
Oct 7, 2009
Last updated
Dec 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN131277 GA Primary

Addresses

Primary practice location

23 Old School Rd
Georgetown, GA 39854-4627

Mailing address

23 Old School Rd
Georgetown, GA 39854-4627
Phone (229) 334-9353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130717000240 AL Practitioner - Nurse Practitioner 2961642897 Reassigns benefits to 5 organizations
I20150122000174 MS Practitioner - Nurse Practitioner 2961642897 Reassigns benefits to 4 organizations
I20220622001234 FL Practitioner - Nurse Practitioner 2961642897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN131277GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Emergency Group, LLC CurrentSince Jan 8, 2021 Accepting new patients
Newgen Alabama Billing LLC CurrentSince Dec 6, 2024 Accepting new patients
Forrest County General Hospital CurrentSince Nov 9, 2014 Accepting new patients
Ies Alabama PLLC CurrentSince Jun 19, 2024 Accepting new patients
St Michaels Urgent Care of Hattiesburg Family CurrentSince Nov 12, 2016 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Mar 15, 2022 Accepting new patients
Forrest County General Hospital Current Accepting new patients
St Michael Urgent Care of Hattiesburg LLC CurrentSince Nov 12, 2016 Accepting new patients
Southern Alabama Physicians LLP Current Accepting new patients
Forrest County General Hospital CurrentSince Nov 9, 2014 Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC CurrentSince Apr 1, 2020 Accepting new patients
Southern Alabama Physicians,LLP CurrentSince Jul 1, 2013 Accepting new patients
Floridian Emergency Specialists LLC Current Accepting new patients
App of Mississippi Ed, LLC CurrentSince Sep 16, 2021 Accepting new patients
Keystone Medical Services of Alabama, Inc. CurrentSince May 1, 2022 Accepting new patients
Floridian Emergency Specialists, LLC CurrentSince May 20, 2022 Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6907

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

75 Remit Dr
Chicago, IL 60675

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

3700 Hardy St
Ste 10
Hattiesburg, MS 39402
Phone (601) 544-7012

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1982939070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OLD SCHOOL RD",
            "city": "GEORGETOWN",
            "state": "GA",
            "postal_code": "398544627",
            "telephone_number": "229-334-9353",
            "fax_number": "229-334-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OLD SCHOOL RD",
            "city": "GEORGETOWN",
            "state": "GA",
            "postal_code": "398544627",
            "telephone_number": "229-334-9353",
            "fax_number": "229-334-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWICK",
        "first_name": "CARMEN",
        "middle_name": "CAMPBELL",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN131277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, GA

Sources for this page

Verify at the official NPI Registry.