Carrie Whitehead (NPI# 1750833232, PAC ID# 8426330614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750833232 |
| PAC ID by PECOS | 8426330614 |
| Professional Enrollment ID | I20170124000872 |
| Full Name | Carrie Whitehead |
| Organization Legal Name | RENAL ASSOCIATES OF LAGRANGE LLC |
| Address |
1300 Lafayette Pkwy E Building D Lagrange GA 30241-2610 |
| Phone Number | 7063221486 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678712312 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110129 | ST FRANCIS HOSPITAL |
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| 110064 | MIDTOWN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1216 Stark Ave, Columbus, GA 31906-2500 | 7063221486 | RENAL ASSOCIATES, LLC |
| 6228 Bradley Park Dr, Suite A, Columbus, GA 31904-3605 | 7063221486 | RENAL ASSOCIATES, LLC |
| 1300 Lafayette Pkwy E, Building D, Lagrange, GA 30241-2610 | 7063221486 | RENAL ASSOCIATES OF LAGRANGE LLC |
| 2340 Pepperell Pkwy, Opelika, AL 36801-6240 | 7063221486 | RENAL ASSOCIATES, LLC |
| 4391 River Chase Dr, Phenix City, AL 36867-7519 | 7063221486 | RENAL ASSOCIATES, LLC |
| 4130 White House Pkwy, Warm Springs, GA 31830-2149 | 7068822800 | RENAL ASSOCIATES OF LAGRANGE LLC |
| 5995 Spring St, Warm Springs, GA 31830-2149 | 7068622800 | RENAL ASSOCIATES OF LAGRANGE LLC |
| Organization Legal Name | RENAL ASSOCIATES OF LAGRANGE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ferdinand Q Alcaide | Nephrology | Renal Associates of Lagrange LLC | 1300 Lafayette Pkwy E, Building D, Lagrange, GA 30241-2610 |
| Street Address |
1300 LAFAYETTE PKWY E BUILDING D |
| City | LAGRANGE |
| State | GA |
| Zip | 30241-2610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ferdinand Q Alcaide | Nephrology | Renal Associates of Lagrange LLC | 1300 Lafayette Pkwy E, Building D, Lagrange, GA 30241-2610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chantel L Colmer | Chiropractic | Back To Life Chiropractic Center Inc | 1505 Lafayette Pkwy, Lagrange, GA 30241-2513 |
| Tammi L Kaminsky | Chiropractic | Back To Life Chiropractic Center Inc | 1505 Lafayette Pkwy, Lagrange, GA 30241-2513 |
| Sandeep Singh | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Olumide Ajayi | Family Medicine | Wellstar Medical Group, LLC | 1497 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Cynthia M Bokor | Physician Assistant | Peachtree Immediate Care Fp, LLC | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| John Andrews | Psychiatry | 321 Greenville St, Lagrange, GA 30241-3231 | |
| Eric A Crouch | Chiropractic | 413 Greenville St, Lagrange, GA 30241-3360 | |
| Christopher Anthony Martin | Podiatry | Ankle and Foot Centers of Georgia, LLC | 1075 Lafayette Pkwy, Suite 200, Lagrange, GA 30241-3584 |
| Richard P Hollstrom Jr. | Podiatry | Med Ventures Mri, LLC | 1075 Lafayette Pkwy, Suite 120, Lagrange, GA 30241-3584 |
| Davin Gerrard Mitchell | Anesthesiology | 1075 Lafayette Pkwy, Suite 100, Lagrange, GA 30241-3584 | |
| Find all physicians in zip 30241 | |||
| City | LAGRANGE |
| Zip Code | 30241 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAGRANGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carrie Whitehead.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.