Individual provider Active NPI

Gail Miranda Ricker, APRN

  • Nurse Practitioner
  • Leesburg, GA
National Provider Identifier
1245680487
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN157942 Issued in GA
Practice address
1095 US Highway 82 W
Leesburg, GA 31763-5803
Phone
(229) 800-8100
Fax
(229) 800-8101
NPI assigned
Jun 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN157942 GA Primary

Addresses

Primary practice location

1095 US Highway 82 W
Leesburg, GA 31763-5803

Mailing address

1095 US Highway 82 W
Leesburg, GA 31763-5803
Phone (229) 800-8102

Other names 1

  • Mrs. Gail Miranda Guevarra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161220002357 GA Practitioner - Nurse Practitioner 4183905664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1095 US Hwy 82 W
Leesburg, GA 31763-5803
Phone (229) 800-8102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bewell Integrative Health Nurse Practitioner CurrentSince May 14, 2025 Accepting new patients
Shellman Medical LLC CurrentSince Oct 1, 2024 Accepting new patients
KJH Medical Services CurrentSince Oct 1, 2024 Accepting new patients
Phoebe Family Medicine,Coffee County CurrentSince Mar 1, 2017 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Mar 1, 2017 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1095 US Highway 82 W
Leesburg, GA 31763
Phone (229) 800-8100

67 W Railroad St
Shellman, GA 39886
Phone (229) 679-2100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1245680487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 US HIGHWAY 82 W",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635803",
            "telephone_number": "229-800-8102",
            "fax_number": "229-800-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 US HIGHWAY 82 W",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635803",
            "telephone_number": "229-800-8100",
            "fax_number": "229-800-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKER",
        "first_name": "GAIL",
        "middle_name": "MIRANDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-19",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN157942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "GUEVARRA",
            "middle_name": "MIRANDA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

Verify at the official NPI Registry.