Active NPI
Doris Sturcken, NP-C
- Nurse Practitioner
- Augusta, GA
National Provider Identifier
1285611061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN067070NP
- Practice address
- 701 Greene St Ste 200
Augusta, GA 30901-2385 - Phone
- (706) 722-6900
- Fax
- (706) 722-5118
- NPI assigned
- Dec 22, 2005
- Last updated
- Jun 8, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2548 | SC | |
| Nurse Practitioner | 363L00000X | RN067070NP | GA | Primary |
Addresses
Primary practice location
701 Greene St Ste 200
Augusta, GA 30901-2385
Mailing address
701 Greene St Ste 200
Augusta, GA 30901-2385
Phone (706) 722-6900
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 969223386G | Medicaid | GA | |
| 969223386D | Medicaid | GA | |
| 969223386B | Medicaid | GA | |
| 969223386C | Medicaid | GA | |
| 969223386E | Medicaid | GA | |
| 969223386F | Medicaid | GA | |
| NP0399 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2548 | SC | MD | Home Health Agency |
| RN067070NP | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Consultants, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Augusta, GA
- NPI 1104808377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1285611061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 GREENE ST STE 200",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012385",
"telephone_number": "706-722-6900",
"fax_number": "706-722-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GREENE ST STE 200",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012385",
"telephone_number": "706-722-6900",
"fax_number": "706-722-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURCKEN",
"first_name": "DORIS",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "2548",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN067070NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "969223386G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "969223386D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "969223386B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "969223386C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "969223386E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "969223386F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0399",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.