TRACY ANDREA CARSTARPHEN (NPI# 1043204969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043204969 |
| Entity Type | Individual |
| Full Name | TRACY ANDREA CARSTARPHEN |
| Other Name | TRACY ANDREA RICHARDSON |
| Credential | NP |
| Practice Address |
5470 Meridian Marks Rd Atlanta GA 30342 |
| Mailing Address |
2651 Cedar Dr Lawrenceville GA 30043-1325 |
| Practice Telephone | 6156736737 |
| Practice Fax Number | 8004744039 |
| Mailing Telephone | 6156736737 |
| Mailing Fax Number | 8004744039 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
165081 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201683 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201683 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 2631996 | 01 | |
| NC | 6005024 | 05 |
| Street Address |
5470 MERIDIAN MARKS RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707775 | Alie Kanu | Occupational Therapy Assistant | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2019-08-29 |
| 1437707973 | Jasmine Jones | Occupational Therapist | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2019-08-28 |
| 1699323147 | Stephen Gaulden | Physical Therapy Assistant | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2019-08-28 |
| 1548818081 | Molly Hodges | Physical Therapy Assistant | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2019-08-28 |
| 1154979698 | Sarah Norman | Physical Therapy Assistant | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2019-08-28 |
| 1841848389 | Keona Turner | Recreational Therapist Assistant | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2019-08-28 |
| 1144791161 | Nashanuna Howard | Nurse Practitioner | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2018-12-17 |
| 1467920355 | Stephanie Gwynn Sizemore | Nurse Practitioner | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2018-11-08 |
| 1558883868 | Samuel Jason Fletcher | Nurse Practitioner | 5470 Meridian Marks Rd, Atlanta, GA 30342 | 2017-07-10 |
| 1528453958 | Amanda Godbee | Speech-Language Pathologist | 5470 Meridian Marks Rd, Atlanta, GA 30342-1624 | 2015-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.