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 and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tierra Carter Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tierra Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waycross, GA 31501
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tierra Carter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tierra Carter reassigns Medicare benefits to 2 organizations: Coastal Care Inc (Waycross, GA) and Peachtree Immediate Care Fp, LLC (Hiram, GA). Each 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 Tierra Carter'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 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 9 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 (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Coastal Care Inc (NPI 1538367149, Waycross, GA); Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720619554) · Data from the CMS NPPES public registry.