Individual provider Active NPI

Sally Manyor Arrey, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Athens, GA
National Provider Identifier
1942074737
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP317205 Issued in GA
Practice address
100 Seagraves Dr Ste 3
Athens, GA 30605-2492
Phone
(470) 295-2697
Fax
(706) 229-8964
NPI assigned
Nov 13, 2023
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP317205 GA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN317205 GA

Addresses

Primary practice location

100 Seagraves Dr Ste 3
Athens, GA 30605-2492

Mailing address

4133 Village Preserve Way
Gainesville, GA 30507-3321
Phone (470) 295-2697

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260424002385 GA Practitioner - Nurse Practitioner 8921575127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4133 Village Preserve Way
Gainesville, GA 30507-3321

44 Professional Dr
Jefferson, GA 30549-6333

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN317205GAMDPsychiatric/Mental Health Registered Nurse
NP317205GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Care Solutions LLC Current Accepting new patients
Goshen Healthcare Solutions LLC Current Accepting new patients
Goshen Integrative Health Inc Psychiatric/Mental Health CurrentSince Nov 19, 2023 Accepting new patients

Locations

100 Seagraves Dr
Ste 3
Athens, GA 30605
Phone (404) 821-6262

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1942074737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 VILLAGE PRESERVE WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305073321",
            "telephone_number": "470-295-2697",
            "fax_number": "706-229-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SEAGRAVES DR STE 3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052492",
            "telephone_number": "470-295-2697",
            "fax_number": "706-229-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREY",
        "first_name": "SALLY",
        "middle_name": "MANYOR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "NP317205",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN317205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.