Frederick C Gurley, RPH
Individual provider Active NPI Pharmacist · Jefferson, GA
NPI 1467590646 · NPPES record last updated Sep 6, 2025
Key facts
- NPI
- 1467590646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13080 (GA)
- Practice address
- 86 N Public SQ
Jefferson, GA 30549-1084 - Phone
- (706) 367-5252
- Fax
- (706) 367-2283
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13080 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford W Long Pharmacy Inc LTC | Current |
Accepting new patients | |
| Crawford W Long Pharmacy Inc | Current | Accepting new patients |
Locations
86 N Public Sq
Jefferson, GA 30549
Phone (706) 367-5252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13080 | GA | Yes |
Addresses
Primary practice location
86 N Public SQ
Jefferson, GA 30549-1084
Mailing address
864 Storey Porter Rd
Jefferson, GA 30549-2628
Phone (706) 367-9391
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025495A | Medicaid | GA |
Other names
- Fred C Gurley
Other providers in Jefferson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2025. 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.