Healthcare Provider Details

I. General information

NPI: 1932014594
Provider Name (Legal Business Name): KERRI ANN MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 UNIVERSITY DR
THOMSON GA
30824-0040
US

IV. Provider business mailing address

2572 KIRBY AVE
GROVETOWN GA
30813-4250
US

V. Phone/Fax

Practice location:
  • Phone: 706-595-1090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN313253
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: