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MRS. HEATHER A CARL NP
NPI 1881602274
Nurse Practitioner in Roswell, GA

Active since August 03, 2006PECOS Enrolled
85.02/100
CMS Quality Rating
1295 HEMBREE RD STE 101, ROSWELL, GA 30076(404) 920-4950(404) 920-4959 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017 (2 updates tracked since 2017).

About Mrs. Heather A Carl Np NPPES

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

MRS. HEATHER A CARL NP (NPI 1881602274) is an individual nurse practitioner in Roswell, Georgia, licensed in Georgia (RN144436) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881602274
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. HEATHER A CARLCredential: NP
Location Address1295 HEMBREE RD STE 101Roswell, GA 30076-5721
Mailing Address3390 Peachtree Rd Ne, Ste 1500Atlanta, GA 30326 · (404) 920-4950
Phone(404) 920-4950
Fax(404) 920-4959
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1881602274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN144436
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1295 HEMBREE RD STE 101, Roswell, GA 30076
Open in Google Maps ↗

Other Identifiers 2

Other9272408FL · License
OtherRN144436GA · Lisence #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Heather A Carl Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Heather Carl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interventional Spine And Pain Management Center, PC
19 mi
Interventional Pain Medicine
2675 N DECATUR RD, SUITE 303
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 81 clinicians in this Medicare group
NPI 1154780914 (770) 929-9033

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.43
Promoting Interoperability100
Improvement Activities40
Cost60.65

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 Heather Carl's NPI number?

The NPI number for Heather Carl is 1881602274. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Heather Carl located?

Heather Carl practices at 1295 Hembree Rd Ste 101, Roswell, GA 30076. The listed phone number is (404) 920-4950.

What is Heather Carl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Carl enrolled in Medicare?

Yes. Heather Carl is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Carl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Carl reassigns Medicare benefits to Interventional Spine And Pain Management Center, PC (Decatur, GA). 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 Heather Carl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Carl accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Heather Carl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Carl was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.