Active NPI
Ancy Bobby
- Adult Health Nurse Practitioner
- Grayson, GA
National Provider Identifier
1154817815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN193415
- Practice address
- 2530 Wevok Way
Grayson, GA 30017-4343 - Phone
- (678) 237-3220
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN193415 | GA | MD | Adult Health Nurse Practitioner |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN193415 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2530 Wevok Way
Grayson, GA 30017-4343
Mailing address
2530 Wevok Way
Grayson, GA 30017-4343
Phone (678) 237-3220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 6, 2018.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1154817815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 WEVOK WAY",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300174343",
"telephone_number": "678-237-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 WEVOK WAY",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300174343",
"telephone_number": "678-237-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBBY",
"first_name": "ANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN193415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.