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Deactivated NPI 1497993299 Deactivated / Inactive NPI Female Practitioner

Kimberly Wray , LPN

Licensed Practical Nurse • Athens, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kimberly Wray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 02, 2009
NPI Deactivation Date July 22, 2022
Total Practice Duration ~13 Years of Practice (2009 – 2022)

Professional Overview & Biography Verified Profile Summary

Kimberly Wray, LPN was a registered Licensed Practical Nurse practicing in Athens, GA. Throughout an active medical career spanning 13 years, Kimberly Wray provided care at the practice location at 250 NORTH AVE until profile deactivation on 2022-07-22.

Practice Location & Contact Primary Location

Practice Address

250 North Ave

Athens, GA 306012244

Telephone 7065429700
Fax 7062277249
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
53 Specialists

Practicing in Athens, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN075488

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Matthew Hurd , LCSW

Social Worker - Clinical

NPI 1013138106

Licensed Clinical Social Worker

Pamela Brightwell , LPN

Licensed Practical Nurse

NPI 1013244805

Licensed Practical Nurse

Marjorie Spencer , RN

Registered Nurse

NPI 1033437926

Registered Nurse

Angela Shaw , LMSW

Social Worker

NPI 1033567649

Licensed Master Social Worker

Richard Cereneche , RN

Registered Nurse

NPI 1043532492

Registered Nurse

Debra Shreve , LCSW

Counselor - Mental Health

NPI 1043604382

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 22, 2022

Record deactivated on July 22, 2022

NPI Profile Active February 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2009

Registered at 250 NORTH AVE, ATHENS, GA 306012244 (Tel: 7065429700)

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Updated Business Mailing Address February 02, 2009

Registered at 250 NORTH AVE, ATHENS, GA 306012244 (Tel: 7065429700)

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Provider Name / Credentials Updated February 02, 2009

Recorded as KIMBERLY WRAY, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2009

Licensed Practical Nurse (License #LPN075488 in GA)

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Initial NPI Registration & Enumeration February 02, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497993299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2009
Last Update: February 02, 2009
Deactivation Date: July 22, 2022

Mailing Address

250 North Ave

Athens, GA 306012244

Phone: 7065429700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.