P Praxis·MD
● Active Type 1 · Individual

Tory Kirsten Etheridge, NP

Nurse Practitioner·Gray, GA· NPI 1649771155 · Enumerated 2018 · 8 years on NPI
Etheridge is 1 of 5 nurse practitioner providers in Gray and 1 of 3206 in Georgia.
NPI age
8 years
Enumerated 2018-02-21
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
8 years
≈ at median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
2
In the 30% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-02Enumerated in NPPES
2018 2026

Where they practice

Practice location
4120 Gray Hwy
Gray, GA 310326156
📞 4783202298
Mailing address
4120 Gray Hwy
Gray, GA 310326156
📞 4783202298

Specialties

  • Nurse Practitioner Primary
    (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...
    GA license #2017026648 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    GA license #2017026648 taxonomy 363LG0600X
  • Nurse Practitioner
    Definition to come...
    GA license #2017026648 taxonomy 363LA2100X

Identifiers

TypeValueNotes
01 RN223023 GA LICENSE

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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