Provider Demographics
NPI:1245031418
Name:CARROLL, ALISON (NP)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:CARROLL
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 TOWNSEND RD
Mailing Address - Street 2:
Mailing Address - City:TALKING ROCK
Mailing Address - State:GA
Mailing Address - Zip Code:30175-3630
Mailing Address - Country:US
Mailing Address - Phone:706-879-0421
Mailing Address - Fax:
Practice Address - Street 1:960 TOWNSEND RD
Practice Address - Street 2:
Practice Address - City:TALKING ROCK
Practice Address - State:GA
Practice Address - Zip Code:30175-3630
Practice Address - Country:US
Practice Address - Phone:706-879-0421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA244620363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health