Johnetta Ra'shawn Carroll, is a
Nurse Practitioner - Gerontology based in Headland, Alabama. Johnetta Ra'shawn Carroll is licensed to practice in Alabama (license number 1-177842) and her current practice location is
208 Carr Cir, Headland, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 718-2444.
NPI number for Johnetta Ra'shawn Carroll is 1407708100 and her current mailing address is 208 Carr Cir, Headland, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407708100.
Provider's Profile
| Full Name | Johnetta Ra'shawn Carroll |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Gerontology |
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| Location | 208 Carr Cir, Headland, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407708100
- Provider Enumeration Date: 02/13/2026
- Last Update Date: 02/13/2026
Medical Identifiers
Medical identifiers for Johnetta Ra'shawn Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407708100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | 1-177842 (Alabama) | Primary |
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. Johnetta Ra'shawn Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Johnetta Ra'shawn Carroll, 208 Carr Cir, Headland, AL 36345-1906 Ph: (334) 718-2444 | Johnetta Ra'shawn Carroll, 208 Carr Cir, Headland, AL 36345-1906 Ph: (334) 718-2444 |
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