Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carla Wilson Petty, NP-C

Individual provider Nurse Practitioner · NPI 1578913646

Carla Wilson Petty, NP-C is a Nurse Practitioner in Augusta, Georgia. Qualified in 2015, 11 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama and Georgia.

Years since qualifying
11
Licensed in
AL, GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-1526
Phone: (706) 721-8623
Fax: (706) 721-1459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1898 Mulberry St, Montgomery, AL 36106-1526 — (334) 239-7059
  • 1348 Walton Way, Augusta, GA 30901-5104 — (706) 722-4300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN211008 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 1-121795 (AL)

Record details

NPI number1578913646
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 20, 2016
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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