Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649771155 Individual Practitioner Female Practitioner

Tory Kirsten Etheridge , NP

Nurse Practitioner • Gray, GA

Professional Overview & Biography Verified Profile Summary

Tory Etheridge, NP is a registered healthcare professional specializing in Nurse Practitioner in Gray, GA. Practice services are available at 4120 GRAY HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4120 Gray Hwy

Gray, GA 310326156

Telephone 4783202298

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gray, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Gray, GA (3149 Statewide)

Telehealth Adoption Rate
16.7% 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

CMS Verified: 2024-10-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA 2017026648

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License GA 2017026648

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License GA 2017026648

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ga License
RN223023

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 09, 2024

Registered at 4120 GRAY HWY, GRAY, GA 310326156 (Tel: 4783202298)

📍
Updated Business Mailing Address October 09, 2024

Registered at 4120 GRAY HWY, GRAY, GA 310326156 (Tel: 4783202298)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2024

Nurse Practitioner (License #2017026648 in GA)

NPI Profile Active February 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2018

Registered at 688 WALNUT ST STE 200, MACON, GA 312010333 (Tel: 4787427566)

📍
Updated Business Mailing Address February 21, 2018

Registered at 688 WALNUT ST STE 200, MACON, GA 312010333 (Tel: 4787427566)

👤
Provider Name / Credentials Updated February 21, 2018

Recorded as TORY ETHERIDGE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2018

Nurse Practitioner (License #2017026648 in GA)

🟢
Initial NPI Registration & Enumeration February 21, 2018

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: 1649771155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2018
Last Update: October 09, 2024
Sole Proprietor: No

Mailing Address

4120 Gray Hwy

Gray, GA 310326156

Phone: 4783202298

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.