MEDICARE: SHERRY RAY APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APN0000006614	TN
2	363LF0000X	Family Nurse Practitioner	136375	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01631382	OTHER		RR MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548341175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY RAY APN

Provider Business Mailing Address
First Line	:	4700 BATTLEFIELD PKWY STE 200
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5168
Country	:	US
Telephone Number	:	706-861-4990
Fax Number	:	706-861-9405

Provider Business Practice Location Address
First Line	:	4700 BATTLEFIELD PKWY STE 200
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5168
Country	:	US
Telephone Number	:	706-861-4990
Fax Number	:	706-861-9405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	04/16/2026

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Directions to “ SHERRY RAY APN” Practice Location

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