Provider Demographics
NPI:1588993844
Name:CARLTON, BRITNEY WHITAKER (CPNP-PC)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:WHITAKER
Last Name:CARLTON
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:MICHEL
Other - Last Name:WHITAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-PC
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-0658
Mailing Address - Country:US
Mailing Address - Phone:770-718-1122
Mailing Address - Fax:770-533-4786
Practice Address - Street 1:725 JESSE JEWELL PKWY SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3834
Practice Address - Country:US
Practice Address - Phone:770-535-3611
Practice Address - Fax:770-535-7092
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN198223363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA548092OtherWELLCARE
GA295284691EMedicaid
GA295284691DMedicaid
GA548093OtherWELLCARE
GA541931OtherWELLCARE
GA01331871OtherAMERIGROUP
GA295284691AMedicaid
GA548091OtherWELLCARE
GA295284691FMedicaid
GA295284691CMedicaid
GA202I506827Medicare PIN