Caleb Patrick Ray

Individual provider Active NPI Acute Care Nurse Practitioner · Ocilla, GA

NPI 1497612469 · NPPES record last updated Jan 9, 2026

Key facts

NPI
1497612469
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
APRN-NP300349 (GA)
Practice address
361 Frank Church Rd
Ocilla, GA 31774-3713
Phone
(229) 457-1543
NPI assigned
Jan 9, 2026
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APRN-NP300349GAMDAcute Care Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN-NP300349 GA Yes

Addresses

Primary practice location

361 Frank Church Rd
Ocilla, GA 31774-3713

Mailing address

361 Frank Church Rd
Ocilla, GA 31774-3713
Phone (229) 457-1543

Other providers in Ocilla, GA

All providers in Ocilla, GA · Acute Care Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.