Individual provider Active NPI

Michelle Davis Snearly, FNP-C

  • Family Nurse Practitioner
  • Ellijay, GA
National Provider Identifier
1033004957
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN195191 Issued in GA
Practice address
79 Southside Church St
Ellijay, GA 30540-5400
Phone
(706) 635-6529
Fax
(706) 635-6529
NPI assigned
Jun 11, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN195191 GA Primary

Addresses

Primary practice location

79 Southside Church St
Ellijay, GA 30540-5400

Mailing address

128 Tilly Farm Rd
Ellijay, GA 30540-7527
Phone (706) 889-9562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN195191GAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1033004957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 TILLY FARM RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305407527",
            "telephone_number": "706-889-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SOUTHSIDE CHURCH ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405400",
            "telephone_number": "706-635-6529",
            "fax_number": "706-635-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEARLY",
        "first_name": "MICHELLE",
        "middle_name": "DAVIS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN195191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.