Individual provider Active NPI

Beverly Elizabeth George-Gay, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1467018523
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024176394 Issued in VA
Practice address
1200 W Cary St
Richmond, VA 23220-5410
Phone
(804) 359-9375
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024176394 VA Primary

Addresses

Primary practice location

1200 W Cary St
Richmond, VA 23220-5410

Mailing address

11824 Club Ridge Dr
Chester, VA 23836-2752
Phone (804) 943-1395

Other identifiers 2

IdentifierTypeStateIssuer
0024176394OtherVALICENSE TO PRACTICE AS A NURSE PRACTITIONER
2018010120OtherAMERICAN NURSES CREDENTIALING CENTER CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0024176394VAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1467018523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11824 CLUB RIDGE DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362752",
            "telephone_number": "804-943-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CARY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205410",
            "telephone_number": "804-359-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE-GAY",
        "first_name": "BEVERLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024176394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE AS A NURSE PRACTITIONER",
            "identifier": "0024176394",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER CERTIFICATION",
            "identifier": "2018010120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.