Healthcare Provider Details

I. General information

NPI: 1477068575
Provider Name (Legal Business Name): LAURA CARDIE BARBEE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2017
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1266 HIGHWAY 515 S
JASPER GA
30143-4872
US

IV. Provider business mailing address

317 WESTERN BLVD
JACKSONVILLE NC
28546-6338
US

V. Phone/Fax

Practice location:
  • Phone: 706-692-2441
  • Fax: 404-603-2654
Mailing address:
  • Phone: 910-577-2240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberGAA-NP000386
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5010132
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP000386
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: