Healthcare Provider Details

I. General information

NPI: 1841061058
Provider Name (Legal Business Name): JOANNE ALLISON CARTER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 SAMARITAN DR
JASPER GA
30143-1964
US

IV. Provider business mailing address

134 GOLD SPRINGS CT
CANTON GA
30114-6333
US

V. Phone/Fax

Practice location:
  • Phone: 706-253-4633
  • Fax: 706-253-1192
Mailing address:
  • Phone: 904-622-6049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN328232
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN9282048
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: