Carla Wilson Petty, NP-C - Medicare Nurse Practitioner in Augusta, GA

Carla Wilson Petty, NP-C is a medicare enrolled "Nurse Practitioner" in Augusta, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medstar Medical Group Ii Llc and her current practice location is 1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 721-8623.

Carla Wilson Petty is licensed to practice in Georgia (license number RN211008) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578913646.

Contact Information

Carla Wilson Petty, NP-C
1120 15th St,
Augusta, GA 30912-1526
(706) 721-8623
(706) 721-1459

Map and Direction




Provider's Profile

Full NameCarla Wilson Petty
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carla Wilson Petty graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1578913646
  • Provider Enumeration Date: 06/20/2016
  • Last Update Date: 08/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3173898756
  • Enrollment ID: I20230823002176

Medical Identifiers

Medical identifiers for Carla Wilson Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578913646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-121795 (Alabama)Secondary
363L00000XNurse Practitioner RN211008 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstar Medical Group Ii Llc05474138251790

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. Carla Wilson Petty allows following entities to bill medicare on her behalf.
Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000415

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. Carla Wilson Petty 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
Carla Wilson Petty, NP-C
1120 15th St Ste Bi1056,
Augusta, GA 30912-0004

Ph: (706) 721-3813
Carla Wilson Petty, NP-C
1120 15th St,
Augusta, GA 30912-1526

Ph: (706) 721-8623

Reviews and Comments


Nurse Practitioner Nurses in Augusta, GA

Mr. Robert Scott Smith, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-8549    
Veronica Bradford, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906
Phone: 706-790-4440    
Nadia Reese, AGACNP-BC, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3604 Wheeler Rd Ste E, Augusta, GA 30909
Phone: 706-432-1111    
Britney Wilkinson, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1120 15th St # Or-6000, Augusta, GA 30912
Phone: 706-726-9257    
Kristin Anderson Hannah, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3651 Wheeler Rd, Augusta, GA 30909
Phone: 706-863-9595    Fax: 706-868-8735
Magen Brooke Luke,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909
Phone: 706-863-9595    Fax: 706-868-8375
Dr. Suzanne Dixson Thomas, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1916 N Leg Rd, Family Health Coordinator, East Central Health District, Augusta, GA 30909
Phone: 706-667-4285    Fax: 706-667-4607

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.