Active NPI
Andrew Joseph Stricklin, M.D.
- Emergency Medicine Physician
- Winston Salem, NC
National Provider Identifier
1245764596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2021-00873
- Practice address
- Medical Center Boulevard
Winston Salem, NC 27157-0001 - Phone
- (336) 716-2255
- Fax
- (336) 716-3202
- NPI assigned
- Apr 13, 2017
- Reactivated
- Jun 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 2021-00873 | NC | Primary |
Addresses
Primary practice location
Medical Center Boulevard
Winston Salem, NC 27157-0001
Mailing address
220 Braeburn Drive
Winston Salem, NC 27127
Phone (502) 852-8696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.68 of 100
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-00873 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Valley Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Paducah, KY
- NPI 1720755739
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Princeton, KY
- NPI 1881376747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1245764596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BRAEBURN DRIVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27127",
"telephone_number": "502-852-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BOULEVARD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-2255",
"fax_number": "336-716-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLIN",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-13",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"deactivation_date": "2019-04-04",
"reactivation_date": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2021-00873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.