TIERRA CARTER NP
NPI 1720619554
Nurse Practitioner - Family in Waycross, GA
About Tierra Carter Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIERRA CARTER NP (NPI 1720619554) is an individual family provider in Waycross, Georgia, licensed in Georgia (RN260548) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tierra Carter Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tierra Carter's NPI number?
The NPI number for Tierra Carter is 1720619554. It was assigned to this individual provider in the NPPES registry on January 30, 2020.
Where is Tierra Carter located?
Tierra Carter practices at 1610 Alice St, Waycross, GA 31501. The listed phone number is (912) 590-4366.
What is Tierra Carter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tierra Carter enrolled in Medicare?
Yes. Tierra Carter is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tierra Carter was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tierra Carter, NP · NPI 1720619554
Family physician in Waycross, Georgia. Individual provider, active in the CMS NPPES registry since January 30, 2020.
## Identity
- **NPI:** 1720619554 (Entity type: Individual)
- **Enumerated:** January 30, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN260548 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1610 ALICE ST, Waycross, GA 31501-4533
- **Phone:** (912) 590-4366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1720619554) · Data from the CMS NPPES public registry.