TRACY ANN CARMICHAEL LPC
NPI 1669837969
Counselor - Professional in Fayetteville, GA

Q: What is Tracy Carmichael's NPI number?

The NPI number for Tracy Carmichael is 1669837969. It was assigned to this individual provider in the NPPES registry on December 31, 2015.

Q: What is Tracy Carmichael's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Carmichael was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since December 31, 2015PECOS EnrolledAccepts Medicare Assignment

715 BRADLEY DR, FAYETTEVILLE, GA 30214(770) 358-5252(707) 460-2463 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Dec 31, 2015 (2 updates tracked since 2015).

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About Tracy Ann Carmichael Lpc NPPES

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

TRACY ANN CARMICHAEL LPC (NPI 1669837969) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (LPC010748) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669837969

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTRACY ANN CARMICHAELCredential: LPC

Location Address715 BRADLEY DRFayetteville, GA 30214-2030

Mailing Address715 Bradley DrFayetteville, GA 30214-2030 · (707) 358-5252 · Fax (770) 460-2463

Phone(770) 358-5252

Fax(707) 460-2463

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 31, 2015

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1669837969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC010748

715 BRADLEY DR, Fayetteville, GA 30214

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy Ann Carmichael Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638522436

PECOS Enrollment IDI20240129001606

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. IRIS BRANCH CLEVELAND LCSW

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