Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgette D Berry

Individual provider Religious Nonmedical Practitioner · NPI 1063202745

Georgette D Berry is a Religious Nonmedical Practitioner in Ellenwood, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3107 Indian Cotton Cir
Ellenwood, GA 30294
Phone: (678) 275-6314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Religious Nonmedical Practitioner (primary) Taxonomy 374K00000X · Licence 0000000

Record details

NPI number1063202745
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 7, 2025
Certification dateApril 25, 2025
Mailing address5966 Sherwood Pl, Ellenwood, GA 30294-4089