Healthcare Provider Details

I. General information

NPI: 1932043924
Provider Name (Legal Business Name): CASEY KARIKA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 PINE ST
MACON GA
31201-2109
US

IV. Provider business mailing address

438 GRANADA TER
WARNER ROBINS GA
31088-4071
US

V. Phone/Fax

Practice location:
  • Phone: 478-633-1556
  • Fax:
Mailing address:
  • Phone: 478-919-7395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN248672
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: