Bewell Integrative Health

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BEWELL INTEGRATIVE HEALTH

Practice address

1095 US Highway 82 W
Leesburg, GA 31763-5803

Phone

(229) 800-8102

Fax

(229) 800-8101

NPI assigned

Apr 14, 2025

Last updated

May 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gail Miranda Ricker, NP-CNPI 1245680487

Title

Owner

Phone

(229) 800-8102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gail Miranda Ricker, APRN

  • Nurse Practitioner
  • Leesburg, GA
  • NPI 1245680487
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1629863006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 US HIGHWAY 82 W",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635803",
            "telephone_number": "229-800-8102",
            "fax_number": "229-800-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 US HIGHWAY 82 W",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635803",
            "telephone_number": "229-800-8102",
            "fax_number": "229-800-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWELL INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "RICKER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-800-8102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamarra Bass
• Orlandria Michelle Bennett-Reed
• Elisabeth Bennett, CTRS
• Robert L Bennett III
• Trebla Cole Bennett, LPC
• Shekella Blanden, NP
• Board of County Commissioners in Lee County Georgia (Lee County Emergency Medical Service)
• Serra Boone
• Jason B Boyd, NP
• Ashley Brinkley, COTA/L

• Nurse Practitioner in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.