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JOHNETTA RA'SHAWN CARROLL
NPI 1407708100
Nurse Practitioner - Gerontology in Headland, AL

Active since February 13, 2026PECOS Enrolled
208 CARR CIR, HEADLAND, AL 36345(334) 718-2444 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Johnetta Ra'shawn Carroll NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNETTA RA'SHAWN CARROLL (NPI 1407708100) is an individual gerontology provider in Headland, Alabama, licensed in Alabama (1-177842) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407708100
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJOHNETTA RA'SHAWN CARROLL
Location Address208 CARR CIRHeadland, AL 36345-1906
Mailing Address208 Carr CirHeadland, AL 36345-1906 · (334) 718-2444
Phone(334) 718-2444
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1407708100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AL · 1-177842
208 CARR CIR, Headland, AL 36345
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnetta Ra'shawn Carroll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103386669
PECOS Enrollment IDI20260903001700
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johnetta Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Flowers Hb Medical Services LLC
9.6 mi
Emergency Medicine
4370 W MAIN ST
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 252 clinicians in this Medicare group
NPI 1972283828 (334) 793-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnetta Carroll's NPI number?

The NPI number for Johnetta Carroll is 1407708100. It was assigned to this individual provider in the NPPES registry on February 13, 2026.

Where is Johnetta Carroll located?

Johnetta Carroll practices at 208 Carr Cir, Headland, AL 36345. The listed phone number is (334) 718-2444.

What is Johnetta Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Johnetta Carroll enrolled in Medicare?

Yes. Johnetta Carroll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johnetta Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnetta Carroll reassigns Medicare benefits to Flowers Hb Medical Services LLC (Dothan, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnetta Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnetta Carroll was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.