CARLA RAE NORDSTROM (MD) – Pulmonary Disease Physician, NPI 1982653192

CARLA RAE NORDSTROM (MD) is a healthcare provider. based in Rome, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2017-02055 (NC). The NPI Number for CARLA RAE NORDSTROM (MD) is 1982653192

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
CARLA RAE NORDSTROM (MD)
NPI
1982653192
Phone
(706) 509-5000
Address
304 Turner McCall Blvd SW
Enumeration Date
8 May 2006
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
9802122000
Graduation Year
1993 (33 years ago)
PAC ID
7012810849
Group Practice PAC ID
4789597477
Professional Enrollment ID
I20171108002068
Address ID
NC280924147LI433XXRDXX300
Telehealth
Yes

Contacts

Secure Messaging
cnordstrom310929@CarolinasHealthcareSystem.direct-ci.com
Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

Provider Addresses for CARLA RAE NORDSTROM (MD)

  • 304 Turner McCall Blvd SW

    Rome, GA 301655621

    Phone: (706) 509-5000

    Type: Location

  • 500 Lauchwood Dr

    Laurinburg, NC 283525501

    Phone: (910) 291-6904

    Type: Location

  • PO BOX 19305

    CHARLOTTE, NC 282199305

    Phone:

    Type: Mailing

  • 1350, South Kings Drive, Midtown, Charlotte, Mecklenburg County, North Carolina, 28207, United States

    CHARLOTTE, NC 282072134

    Phone: (704) 446-4490

    Type: Location

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: 2017-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20100820000077IInternal MedicineNHTBD
I20170413000585ICritical Care (Intensivists)VATBD
I20171108002068IInternal MedicineNCTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes4841$0
99291Critical care, first 30-74 minutes2222$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30165)

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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: 4789597477View full group profile
NameSpecialtyState
Family PracticeNC
-NC
Nurse PractitionerNC
Family PracticeNC
Nurse PractitionerNC
General SurgeryCA
Nurse PractitionerIL
Pediatric MedicineNY
Pediatric MedicineNC
Physician AssistantNC

Reviews

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Frequently asked questions

What number should I use to identify CARLA RAE NORDSTROM (MD) for billing?
Administrative and clinical systems typically use NPI 1982653192 for CARLA RAE NORDSTROM (MD).
Does the public listing show CARLA RAE NORDSTROM (MD) as active?
CARLA RAE NORDSTROM (MD)'s NPI record reflects an active status in NPPES.
What services align with CARLA RAE NORDSTROM (MD)'s listing?
CARLA RAE NORDSTROM (MD)'s public classification highlights Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CARLA RAE NORDSTROM (MD)?
CARLA RAE NORDSTROM (MD) is associated with Rome, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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