Active NPI
Patricia Murray, CPNP
- Pediatric Nurse Practitioner
- Blue Ridge, GA
National Provider Identifier
1154388387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN062691
- Practice address
- 787 E Main St
Blue Ridge, GA 30513-4576 - Phone
- (706) 632-4411
- Fax
- (706) 632-4644
- NPI assigned
- May 1, 2006
- Last updated
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN062691 | GA | Primary |
Addresses
Primary practice location
787 E Main St
Blue Ridge, GA 30513-4576
Mailing address
PO Box 540
Morganton, GA 30560-0540
Phone (706) 374-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000731937F | Medicaid | GA |
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grady Health Systems
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1154388387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540",
"city": "MORGANTON",
"state": "GA",
"postal_code": "305600540",
"telephone_number": "706-374-3100",
"fax_number": "706-374-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 E MAIN ST",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134576",
"telephone_number": "706-632-4411",
"fax_number": "706-632-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "PATRICIA",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN062691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000731937F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.