Healthcare Provider Details

I. General information

NPI: 1104733153
Provider Name (Legal Business Name): SHELBY LEE CARTER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 SHERWOOD PARK DR NE
GAINESVILLE GA
30501-3445
US

IV. Provider business mailing address

1212 SHERWOOD PARK DR NE
GAINESVILLE GA
30501-3445
US

V. Phone/Fax

Practice location:
  • Phone: 404-585-1724
  • Fax:
Mailing address:
  • Phone: 404-585-1724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License NumberAPRN-NP283505
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: