Healthcare Provider Details

I. General information

NPI: 1003746868
Provider Name (Legal Business Name): CARLA HOWELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL DR
LAGRANGE GA
30240-4153
US

IV. Provider business mailing address

5950 BEAVER POND CT
COLUMBUS GA
31904-3215
US

V. Phone/Fax

Practice location:
  • Phone: 706-803-7180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN-NP216381
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: