MEDICARE: SARAH GAY

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	363LF0000X	Family Nurse Practitioner	RN715641	GA

General Provider Information

NPI Number	:	1558290064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH GAY

Provider Business Mailing Address
First Line	:	245 MEELER CIR
Second Line	:
City	:	BOGART
State	:	GA
Zip	:	30622-6844
Country	:	US
Telephone Number	:	540-314-8997
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 MEELER CIR
Second Line	:
City	:	BOGART
State	:	GA
Zip	:	30622-6844
Country	:	US
Telephone Number	:	540-314-8997
Fax Number	:

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

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ SARAH GAY ” Practice Location

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