Healthcare Provider Details

I. General information

NPI: 1558290064
Provider Name (Legal Business Name): SARAH GAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 MEELER CIR
BOGART GA
30622-6844
US

IV. Provider business mailing address

245 MEELER CIR
BOGART GA
30622-6844
US

V. Phone/Fax

Practice location:
  • Phone: 540-314-8997
  • Fax:
Mailing address:
  • Phone: 540-314-8997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN715641
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: