Individual provider Active NPI

Ancy Bobby

  • Adult Health Nurse Practitioner
  • Grayson, GA
National Provider Identifier
1154817815
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN193415 Issued in GA
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

LicenseStateTypeSpecialty
RN193415GAMDAdult Health Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN193415 GA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.