MEDICARE: CAREY MCCANN BAKER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1750248498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREY MCCANN BAKER LLC

Provider Business Mailing Address
First Line	:	660 WHITLOCK AVE SW SUITE G-4
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064
Country	:	US
Telephone Number	:	404-409-2513
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 WHITLOCK AVE SW SUITE G-4
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064
Country	:	US
Telephone Number	:	404-409-2513
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	CAROLE MCCANN
Credential	:	FNP
Telephone Number	:	404-409-2513

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/07/2026

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