Elizabeth Y Fletcher, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005492 Issued in GA

Practice address

106 Retreat VLG
Saint Simons Island, GA 31522-2421

Phone

(912) 434-9316

Fax

(912) 357-1401

NPI assigned

Jan 28, 2009

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ergent Med PrimeGroup PAC ID 8820362189, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: elizabeth.fletcher@241121034764292.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ergent Med Prime

  • Primary Care Clinic/Center
  • Brunswick, GA
  • NPI 1811345390
  Medicare reassignment Care Compare group
• Southeast Georgia Hematology/Oncology Assoc.

  • Oncology Clinic/Center
  • Brunswick, GA
  • NPI 1083629877
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1104064278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RETREAT VLG",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222421",
            "telephone_number": "912-434-9316",
            "fax_number": "912-357-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RETREAT VLG",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222421",
            "telephone_number": "912-434-9316",
            "fax_number": "912-357-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5248 New Jesup Hwy",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315231211",
            "country_code": "US",
            "telephone_number": "912-264-1883",
            "fax_number": "912-357-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "ELIZABETH",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "005492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tara Fox, MOT OTRL
• Jocelyn Francesconi, DPT
• Frederica Imaging PC

• Medical Physician Assistant in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.