Active NPI
Cheryl Jean Ard, ANP-BC
- Adult Health Nurse Practitioner
- Statesboro, GA
National Provider Identifier
1780938647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN070092
- Practice address
- 412 Northside Dr E
Statesboro, GA 30458-4802 - Phone
- (912) 764-9684
- NPI assigned
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gray Family Health LLC
Practice addresses (Care Compare)
260 W Clinton St
Gray, GA 31032-5430
Phone (478) 986-4743
260 W Clinton St
Gray, GA 31032-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150612000705 | GA | Practitioner - Nurse Practitioner | 6406167717 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gray Family Health LLC | Current | Accepting new patients |
Locations
260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN070092 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
412 Northside Dr E
Statesboro, GA 30458-4802
Mailing address
111 Hazelwood Dr
Statesboro, GA 30458-9141
Phone (912) 690-4302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2012.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1780938647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HAZELWOOD DR",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304589141",
"telephone_number": "912-690-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 NORTHSIDE DR E",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584802",
"telephone_number": "912-764-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARD",
"first_name": "CHERYL",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN070092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.
- 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.