Christopher L Surratt, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01707 Issued in AR

Practice address

1100 Medical Dr
Suite D
Blytheville, AR 72315-1425

Phone

(870) 838-7385

Fax

(870) 762-4781

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infusion Centers of the Southeast LLCGroup PAC ID 1759804172, 2 clinicians

Internal Medicine and Pediatric ConsultantsGroup PAC ID 3870980204, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Doctor of Osteopathy, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: csurratt12353@southeasthealth.direct-ci.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Infusion Centers of the Southeast LLC

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1194556118
  Medicare reassignment Care Compare group NPD
• Internal Medicine & Pediatric Consultants

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1982351235
  Medicare reassignment Care Compare group NPD
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Enterprise, AL
  • NPI 1619026606
  Medicare reassignment NPD
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1285783134
  NPD
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1538597349
  NPD
• Medcore Associates, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Dothan, AL
  • NPI 1992524607
  NPD
• Pathology Laboratory Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Dothan, AL
  • NPI 1134190648
  NPD
• Dennis D Parten, MD PA

  • Family Medicine Physician
  • Monette, AR
  • NPI 1245344092
  NPD (past)
• Mid-South Renal Clinic, PLC

  • Specialist
  • Marion, AR
  • NPI 1093724346
  NPD (past)
• Rehabilitation Medicine Associates, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Jonesboro, AR
  • NPI 1073624185
  NPD (past)
• Noland Hospital Dothan II, LLC

  • Long Term Care Hospital
  • Dothan, AL
  • NPI 1497752281
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1114096963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MEDICAL DR",
            "address_2": "SUITE D",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151425",
            "telephone_number": "870-838-7385",
            "fax_number": "870-762-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEDICAL DR",
            "address_2": "SUITE D",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151425",
            "telephone_number": "870-838-7385",
            "fax_number": "870-762-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRATT",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160962758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5X469",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kynesha Stoker
• Timothy W Stone, RN
• Miranda Sullivan
• Superintendent of Blytheville School District No 5
• Superior Home Medical
• Miracle A Swanagan
• Amy Elizabeth Taylor, CPHT
• Hannah Taylor, SLPA
• Dixie Terry, MHPP
• Mark Terry, MHPP

• Family Nurse Practitioner in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.