Individual provider Active NPI

Sheri Faye Ray, CNP

  • Women's Health Nurse Practitioner
  • Ellijay, GA
National Provider Identifier
1144457912
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
GAA-NP001259 Issued in GA
Practice address
433 Highland Pkwy Ste 203
Ellijay, GA 30540-7658
Phone
(770) 721-9420
Fax
(706) 698-6402
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN9200556 FL
Women's Health Nurse Practitioner 363LW0102X GAA-NP001259 GA Primary

Addresses

Primary practice location

433 Highland Pkwy Ste 203
Ellijay, GA 30540-7658

Mailing address

433 Highland Pkwy Ste 203
Ellijay, GA 30540-7658
Phone (770) 721-9420

Other practice location 1

836 Prudential Dr
Suite 1103
Jacksonville, FL 32207-8334
Phone (904) 398-9499

Other practice location 2

9889 Gate Pkwy N Ste 205
Jacksonville, FL 32246-9229
Phone (904) 398-7654

Other identifiers 1

IdentifierTypeStateIssuer
014627500MedicaidFL

Other names 1

  • Sheri F Gurman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040812000451 FL Practitioner - Nurse Practitioner 7719959311 Reassigns benefits to 1 organization
I20240116001444 GA Practitioner - Nurse Practitioner 7719959311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

433 Highland Pkwy
Suite 203
Ellijay, GA 30540-6989
Phone (770) 292-3490

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9200556FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC CurrentSince Apr 1, 2019 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Mar 4, 2024 Accepting new patients

Locations

9889 Gate Pkwy N
Ste 205
Jacksonville, FL 32246
Phone (904) 398-7654

836 Prudential Dr
Ste 1103
Jacksonville, FL 32207
Phone (904) 398-7654

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

433 Highland Pkwy
Ste 203
Ellijay, GA 30540
Phone (706) 698-6400

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1144457912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 HIGHLAND PKWY STE 203",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305407658",
            "telephone_number": "770-721-9420",
            "fax_number": "706-698-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 HIGHLAND PKWY STE 203",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305407658",
            "telephone_number": "770-721-9420",
            "fax_number": "706-698-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 Prudential Dr",
            "address_2": "Suite 1103",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078334",
            "country_code": "US",
            "telephone_number": "904-398-9499",
            "fax_number": "904-398-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9889 Gate Pkwy N Ste 205",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322469229",
            "country_code": "US",
            "telephone_number": "904-398-7654",
            "fax_number": "904-374-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "SHERI",
        "middle_name": "FAYE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9200556",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "GAA-NP001259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014627500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "GURMAN",
            "middle_name": "F",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.