Christa Bales
Individual provider Active NPI Family Nurse Practitioner · Forsyth, GA
NPI 1316614340 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1316614340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN240386 (GA)
- Practice address
- 105 Forest View Cir
Forsyth, GA 31029-4479 - Phone
- (770) 710-9227
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN240386 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freddy N. Gaton | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN240386 | GA | Yes |
Addresses
Primary practice location
105 Forest View Cir
Forsyth, GA 31029-4479
Mailing address
105 Forest View Cir
Forsyth, GA 31029-4479
Phone (770) 710-9227
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- Laura Adams
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- Bonita Polosky Barker
- Paul Willis Barkley Jr.
- Tammy Lynn Barnett
- Mary Glynn Bazemore
- Misty Bert
All providers in Forsyth, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.