Healthcare Provider Details

I. General information

NPI: 1447164975
Provider Name (Legal Business Name): SCHARLA CHARISSE BATTLE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W 5TH ST SW
ROME GA
30165-2817
US

IV. Provider business mailing address

14 S 3RD ST SE
LINDALE GA
30147-1240
US

V. Phone/Fax

Practice location:
  • Phone: 762-235-3930
  • Fax:
Mailing address:
  • Phone: 762-235-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN294662
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: