BECKY CROSS CPNP-PC
NPI 1114622024
Nurse Practitioner - Pediatrics in Fort Oglethorpe, GA
Active since March 31, 2023
About Becky Cross Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BECKY CROSS CPNP-PC (NPI 1114622024) is an individual pediatrics provider in Fort Oglethorpe, Georgia, licensed in Georgia (GAA-NP003498) and active in the NPI registry since March 2023.
NPPES Registry Identity
NPI1114622024
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameBECKY CROSSCredential: CPNP-PC
Location Address2009 OLD LAFAYETTE RDFort Oglethorpe, GA 30742-3510
Mailing Address255 Brock RdMc Donald, TN 37353-5831
Phone(706) 866-5520
Sole ProprietorYes
Enumeration DateMarch 31, 2023
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1114622024 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · GAA-NP003498
2009 OLD LAFAYETTE RD, Fort Oglethorpe, GA 30742
Other Names 1
Former Name (1)Mrs. Becky Byers
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Obstetrics & Gynecology
2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742
FORT OGLETHORPE, GA 30742
Obstetrics & Gynecology
2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742
FORT OGLETHORPE, GA 30742
Clinic/Center (Federally Qualified Health Center (FQHC))
2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742
FORT OGLETHORPE, GA 30742
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114622024, enumerated as an "individual" on March 31, 2023.
The provider is located at 2009 OLD LAFAYETTE RD FORT OGLETHORPE, GA 30742 and the phone number is (706) 866-5520.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.