Active NPI
Gwendolyn G Strickland, P.A.
- Medical Physician Assistant
- Surfside Beach, SC
National Provider Identifier
1447278569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- A238
- Practice address
- 1600 Highway 17 N
Surfside Beach, SC 29575-6015 - Phone
- (843) 238-1461
- NPI assigned
- Jul 17, 2006
- Last updated
- Feb 21, 2020
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | A238 | SC | Primary |
Addresses
Primary practice location
1600 Highway 17 N
Surfside Beach, SC 29575-6015
Mailing address
1205 N Main St
Marion, SC 29571-2008
Phone (843) 423-0760
Other practice location 1
1205 N Main St
Marion, SC 29571-2008
Phone (843) 423-0760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0889PA | Medicaid | SC | |
| GP5462 | Other | SC | GROUP MEDICAID |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A238 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion SC Emergency Physicians | Past | Accepting new patients | |
| Marion Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Mullins, SC
- NPI 1588985857
-
- Emergency Medicine Physician
- Mullins, SC
- NPI 1275718488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1447278569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295712008",
"telephone_number": "843-423-0760",
"fax_number": "843-423-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HIGHWAY 17 N",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756015",
"telephone_number": "843-238-1461"
}
],
"practiceLocations": [
{
"address_1": "1205 N Main St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "SC",
"postal_code": "295712008",
"country_code": "US",
"telephone_number": "843-423-0760",
"fax_number": "843-423-8138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRICKLAND",
"first_name": "GWENDOLYN",
"middle_name": "G",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "A238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0889PA",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "GP5462",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.