Carly Alicia Fuqua, NP-C - Medicare Nurse Practitioner in Cumming, GA

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Carly Alicia Fuqua, NP-C is a medicare enrolled "Nurse Practitioner" in Cumming, Georgia. Her current practice location is 2000 Howard Farm Dr Ste 450, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 845-8200.

Carly Alicia Fuqua is licensed to practice in Georgia (license number RN240849) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366260770.

Contact Information

Carly Alicia Fuqua, NP-C
2000 Howard Farm Dr Ste 450,
Cumming, GA 30041-6085
(404) 845-8200
Not Available

Map and Direction




Provider's Profile

Full NameCarly Alicia Fuqua
GenderFemale
SpecialityNurse Practitioner
Location2000 Howard Farm Dr Ste 450, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366260770
  • Provider Enumeration Date: 10/03/2024
  • Last Update Date: 10/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335675537
  • Enrollment ID: I20241211003286

Medical Identifiers

Medical identifiers for Carly Alicia Fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366260770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN240849 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly Alicia Fuqua allows following entities to bill medicare on her behalf.
Entity NameNorthside Cardiovascular Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518979921
PECOS PAC ID: 9739189838
Enrollment ID: O20070112000232

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Alicia Fuqua is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carly Alicia Fuqua, NP-C
2000 Howard Farm Dr Ste 450,
Cumming, GA 30041-6085

Ph: (404) 845-8200		Carly Alicia Fuqua, NP-C
2000 Howard Farm Dr Ste 450,
Cumming, GA 30041-6085

Ph: (404) 845-8200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.