Provider Demographics
NPI:1548357239
Name:BARBEE, CAROL A (FNP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:BARBEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5354 REYNOLDS ST STE 318
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6010
Mailing Address - Country:US
Mailing Address - Phone:912-819-4836
Mailing Address - Fax:912-819-4821
Practice Address - Street 1:5353 REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6015
Practice Address - Country:US
Practice Address - Phone:912-819-4870
Practice Address - Fax:912-819-4821
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN081625163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00630162OtherRR MEDICARE
GA000781877IMedicaid
GA000781877IMedicaid
GAP00630162OtherRR MEDICARE