Active NPI
Janis Meredith Surratt, REGISTERED NURSE
- Registered Nurse
- High Point, NC
National Provider Identifier
1295056125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 072684
- Practice address
- 501 E Green Dr
High Point, NC 27260-6707 - Phone
- (336) 845-6785
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 072684 | NC | Primary |
Addresses
Primary practice location
501 E Green Dr
High Point, NC 27260-6707
Mailing address
700 Kinloch Dr
Winston Salem, NC 27107-8024
Phone (336) 845-6785
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072684 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1295056125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 KINLOCH DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271078024",
"telephone_number": "336-845-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E GREEN DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272606707",
"telephone_number": "336-845-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURRATT",
"first_name": "JANIS",
"middle_name": "MEREDITH",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "072684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.