MRS. CARLAS PAULK (NPI# 1770058539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770058539 |
| Entity Type | Individual |
| Full Name | MRS. CARLAS PAULK |
| Credential | FNP-C |
| Practice Address |
28 Tempa Ln Douglas GA 31535-4561 |
| Practice Telephone | 9123816202 |
| Mailing Telephone | 9123816202 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN175881 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
28 TEMPA LN |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31535-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740423268 | Lacey N Yeomans | Speech-Language Pathologist | 3891 Quail Hollow Village, Douglas, GA 31535 | 2009-04-14 |
| 1689946808 | Dorothy Dixon | Community/Behavioral Health | 552 Creekwood Rd, Douglas, GA 31535-1918 | 2012-02-03 |
| 1912549353 | Monica Sherise Dill | Case Manager/Care Coordinator | 566 Forest Hills Dr, Douglas, GA 31535-2420 | 2019-10-16 |
| 1881924066 | Air Evac Ems Inc. | Ambulance | 195 Thomas Frier Dr, Douglas, GA 31535-4011 | 2010-01-11 |
| 1407491467 | Aretha Mizell | Contractor | 925 Kamera Rd, Douglas, GA 31535-4345 | 2019-11-14 |
| 1164049615 | Bonnie Dee Whitfield | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-07-01 |
| 1851991095 | Smart Choice Nutrition | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-10-27 |
| 1184612756 | Jeffrey Philip Weems | Specialist/Technologist | 178 Fox Ridge Rd, Douglas, GA 31535-5628 | 2005-10-07 |
| 1124527007 | Healthstat Onsite Clinic-coats Douglas | Preventive Medicine | 1401 Pope Dr, Douglas, GA 31535-5923 | 2018-02-07 |
| 1194140103 | Kaczor Enterprises Inc | Ambulance | 55 Dellmonte Rd, Douglas, GA 31535-6135 | 2014-02-27 |
| Find all providers in zip 31535 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551829 | Taylor Lamar Gibson | Nurse Practitioner | 200 Doctors Dr Ste O, Douglas, GA 31533-2202 | 2019-11-05 |
| 1952879918 | Monica Nichole Roberts | Nurse Practitioner | 210 Peterson Ave S, Douglas, GA 31533-5237 | 2018-11-08 |
| 1053801860 | Brandon Hall | Nurse Practitioner | 903 Ward St W Ste A, Douglas, GA 31533-3536 | 2018-05-16 |
| 1235508920 | Michelle Martinez Jones | Nurse Practitioner | 200 Doctors Dr Ste S, Douglas, GA 31533-2203 | 2015-09-23 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1063817872 | Amanda Brulte | Nurse Practitioner | 100 Doctors Dr Ste 104, Douglas, GA 31533-2211 | 2014-10-23 |
| 1720481500 | La. Donna Spikes | Nurse Practitioner | 208 Grady Ave S, Douglas, GA 31533-2312 | 2014-10-07 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1174757157 | Deborah Judith Kinder | Nurse Practitioner | 6911 N Bdi Blvd, Douglas, AZ 85607-6202 | 2009-05-06 |
| Find all providers in DOUGLAS | ||||
Please comment or provide details below to improve the information on MRS. CARLAS PAULK.
| 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.