DR. NICOLE P CARBONELL (MD) – Emergency Medicine Physician, NPI 1699889865

DR. NICOLE P CARBONELL (MD) is a healthcare provider. based in Austell, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 056417 (GA). The NPI Number for DR. NICOLE P CARBONELL (MD) is 1699889865

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE P CARBONELL (MD)
NPI
1699889865
Phone
(770) 732-4000
Address
3950 AUSTELL RD
Enumeration Date
17 August 2006
Last Update Date
30 December 2010

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3086301111
Graduation Year
2001 (25 years ago)
PAC ID
5193756559
Group Practice PAC ID
1759285885
Professional Enrollment ID
I20171027002521
Address ID
NE693614602SC4021XBXXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

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Provider Addresses for DR. NICOLE P CARBONELL (MD)

  • Austell Road, Austell, Cobb, Georgia, 30106, United States

    AUSTELL, GA 301061121

    Phone: (770) 732-4000

    Type: Location

  • 14030, Crabapple Lake Drive, Roswell, Fulton County, Georgia, 30076, United States

    ROSWELL, GA 300764264

    Phone: (678) 462-1711

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160503001028IEmergency MedicineCOTBD
I20171027002521IEmergency MedicineNETBD
I20230919001984IEmergency MedicineMITBD
I20230919002195IEmergency MedicineKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making127125$0
99291Critical care, first 30-74 minutes6767$0
99284Emergency department visit with moderate level of medical decision making4646$0
View full utilization report →

Insurance plans in this area (ZIP 30106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759285885View full group profile
NameSpecialtyState
Interventional RadiologyCO
-NE
Diagnostic Radiology, Interventional RadiologyIL
Emergency MedicineOR
Interventional Radiology, Diagnostic RadiologyCA
Emergency MedicinePA
-SD
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyCO
-NE
Emergency MedicineUT

Reviews

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Frequently asked questions

Is DR. NICOLE P CARBONELL (MD) listed with a National Provider Identifier?
Yes — DR. NICOLE P CARBONELL (MD) has NPI 1699889865 on file in the registry.
Active or inactive — what applies to DR. NICOLE P CARBONELL (MD)?
You should see DR. NICOLE P CARBONELL (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. NICOLE P CARBONELL (MD)?
DR. NICOLE P CARBONELL (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. NICOLE P CARBONELL (MD) associated with Austell?
Public fields place DR. NICOLE P CARBONELL (MD) around Austell, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.