TRACY ANDREA CARSTARPHEN NP NPI 1043204969

NPI Information

NPI: 1043204969
Provider Name: TRACY ANDREA CARSTARPHEN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5470 MERIDIAN MARKS RD
ATLANTA, GA
ZIP 30342
Phone: (615) 673-6737
Get Directions

Tracy Andrea Carstarphen, NP is a family nurse practitioner in Atlanta, GA. Tracy Andrea Carstarphen, NP NPI is 1043204969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5470 MERIDIAN MARKS RD
ATLANTA, GA
ZIP 30342
Phone: (615) 673-6737
Fax: (800) 474-4039

The NPI 1043204969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 6/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	165081	GEORGIA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201683	NORTH CAROLINA	No
3	363LP2300X	Nurse Practitioner	Primary Care	201683	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6005024	MEDICAID	NORTH CAROLINA
2	2631996	OTHER		UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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