Georgette D Berry

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

License

0000000

Practice address

3107 Indian Cotton Circle
Ellenwood, GA 30294

Phone

(678) 275-6314

NPI assigned

May 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1063202745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 SHERWOOD PL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944089",
            "telephone_number": "678-275-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 INDIAN COTTON CIRCLE",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "30294",
            "telephone_number": "678-275-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "GEORGETTE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Bedford, CPNP
• Lishan Bekele, M.D.
• Belle Ame PCS, LLC
• Carris Bentick Carter
• Sabrina Bernard
• Sparkle Berry
• Patience Juanita Bigby
• Justin Laron Blake, LCSW
• Tamala Blevins
• Stacey Blocker

• Religious Nonmedical Practitioner in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Religious Nonmedical Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.