Healthcare Provider Details

I. General information

NPI: 1255279295
Provider Name (Legal Business Name): CHLOE CARSON RN,NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6553 HIGHWAY 41
RINGGOLD GA
30736-2641
US

IV. Provider business mailing address

109 BARNSLEY VILLAGE DR
ADAIRSVILLE GA
30103-3090
US

V. Phone/Fax

Practice location:
  • Phone: 706-965-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP278119
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN278119
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: