Active NPI
Alexis Grabow Strahan, MSN, NP-C
- Primary Care Nurse Practitioner
- Clinton, MS
National Provider Identifier
1184170854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN277416
- Practice address
- 106 Clinton Pkwy
Clinton, MS 39056 - Phone
- (601) 924-9005
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN277416 | GA | Primary |
Addresses
Primary practice location
106 Clinton Pkwy
Clinton, MS 39056
Mailing address
106 E Broad St
Savannah, GA 31401-2917
Phone (912) 527-1000
Other practice location 1
2173 Main St
Madison, MS 39110-6309
Phone (601) 605-3858
Other practice location 2
106 Clinton Pkwy
Clinton, MS 39056-4730
Phone (601) 924-9005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240731003999 | MA | Order and Referring Only - Internal Medicine | 5092094797 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN277416 | GA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1184170854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E BROAD ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314012917",
"telephone_number": "912-527-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CLINTON PKWY",
"city": "CLINTON",
"state": "MS",
"postal_code": "39056",
"telephone_number": "601-924-9005"
}
],
"practiceLocations": [
{
"address_1": "2173 Main St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "MS",
"postal_code": "391106309",
"country_code": "US",
"telephone_number": "601-605-3858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Clinton Pkwy",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MS",
"postal_code": "390564730",
"country_code": "US",
"telephone_number": "601-924-9005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRAHAN",
"first_name": "ALEXIS",
"middle_name": "GRABOW",
"credential": "MSN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN277416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.