Carmen Campbell Trawick, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Georgetown, GA
NPI 1982939070 · NPPES record last updated Dec 9, 2011
Key facts
- NPI
- 1982939070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN131277 (GA)
- Practice address
- 23 Old School Rd
Georgetown, GA 39854-4627 - Phone
- (229) 334-9353
- Fax
- (229) 334-6983
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Floridian Emergency Specialists LLC
Practice addresses (Care Compare)
151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100
Hospital & facility affiliations
- North Okaloosa Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL, MS, FL
- 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 |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN131277 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Mississippi Ed, LLC | Current |
Accepting new patients | |
| St Michael Urgent Care of Hattiesburg LLC | Current |
Accepting new patients | |
| Floridian Emergency Specialists, LLC | Current |
Accepting new patients | |
| Ies Alabama PLLC | Current |
Accepting new patients | |
| Keystone Medical Services of Ms, Inc | Current |
Accepting new patients | |
| Newgen Alabama Billing LLC | Current |
Accepting new patients | |
| Southern Alabama Physicians LLP | Current | Accepting new patients | |
| St Michaels Urgent Care of Hattiesburg | Family | Current |
Accepting new patients |
| Southern Alabama Physicians,LLP | Current |
Accepting new patients | |
| Forrest County General Hospital | Current |
Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Floridian Emergency Specialists LLC | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Current |
Accepting new patients | |
| Forrest County General Hospital | Current |
Accepting new patients | |
| Moore Emergency Group, LLC | Current |
Accepting new patients | |
| Keystone Medical Services of Alabama, Inc. | Current |
Accepting new patients |
Locations
849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953
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
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
3700 Hardy St
Ste 10
Hattiesburg, MS 39402
Phone (601) 544-7012
5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN131277 | GA | Yes |
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
Other providers in Georgetown, GA
- Latisha McKenzie
- New Horizons CSB Quitman Adult Services
- Quitman County Board of Health
- Quitman County School System
- Stan Lawrence Rentz
- Unified Government of Georgetown-Quitman County Georgia
All providers in Georgetown, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2011. 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.