| Dara Carroll, | |
|
175 Samaritan Dr, Jasper, GA 30143-1964 | |
| (706) 253-4633 | |
| Not Available |
| Full Name | Dara Carroll |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 175 Samaritan Dr, Jasper, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124603923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN190911 (Georgia) | Primary |
| Entity Name | Rural Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20201029003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Dara Carroll, 175 Samaritan Dr, Jasper, GA 30143-1964 Ph: (706) 253-4633 | Dara Carroll, 175 Samaritan Dr, Jasper, GA 30143-1964 Ph: (706) 253-4633 |
Crystal Rice, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80a Interstate South Dr, Jasper, GA 30143 Phone: 770-345-6600 Fax: 770-345-6611 | |
Mrs. Mattie Elizabeth Hollar, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53 Gordon Rd Ste 101, Jasper, GA 30143 Phone: 706-692-9768 Fax: 706-692-4040 | |
Trang Mai Nguyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 J L White Dr, Suite 110a, Jasper, GA 30143 Phone: 706-299-2220 | |
Judith Owens, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Noah Dr, Jasper, GA 30143 Phone: 706-253-1954 | |
Mrs. Lauren Roese Adams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 51 Gordon Rd, Jasper, GA 30143 Phone: 706-692-9768 | |
Britany Nicole Howard, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Gordon Rd Ste 103, Jasper, GA 30143 Phone: 678-344-8900 |