Mary Gail Ferra, NPC

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

RN040735 Issued in GA

Practice address

804 E 16TH Ave
Cordele, GA 31015-1514

Phone

(229) 273-8881

Fax

(229) 273-8985

NPI assigned

Nov 19, 2013

Last updated

Nov 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Careconnect Health, Inc.

  dba Pediatric Convenient Care

  • Federally Qualified Health Center (FQHC)
  • Leesburg, GA
  • NPI 1285346270
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1396175873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FOX RIDGE RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315355630",
            "telephone_number": "912-383-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151514",
            "telephone_number": "229-273-8881",
            "fax_number": "229-273-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRA",
        "first_name": "MARY",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "NPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "GA",
            "license": "RN040735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Evans, ATR
• Lisa Patterson Faircloth, FNP-C
• Judy Lynn Fajardo, AGCANP-BC
• Tiffany Merritt Fallin, NP
• Lauren Goforth Faulk, APRN, FNP-C
• Kenya Lavette Fields
• Timothy David Fitzgerald
• Brad N Ford, DMD
• Bradshaw Neil Ford, DMD
• Hailey Leeann Fortescue

• Clinical Nurse Specialist in Cordele, GA
• Providers in Cordele, GA by specialty
• Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.