Lagretta Charvette Stuckey

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005504 Issued in GA

Practice address

2415 Parkwood Dr
Brunswick, GA 31520-4722

Phone

(912) 466-2660

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467587436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HIDDEN LAKES DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315253049",
            "telephone_number": "912-264-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "LAGRETTA",
        "middle_name": "CHARVETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "005504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "005504",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Wade Strickland, M.D.
• Avery Watson Strickland, CPO
• Strickland, Certain & Jones
• Darrin Avery Strickland, M.D.
• Ginger Stubbs, RN, BSN
• Coleman David Sudduth Jr., M.D.
• Elizabeth J Sudduth, M.D.
• Michael James Sullivan, M.D.
• Janna Marie Summerall-Smith, M.D.
• Summit Dermatology & Laser Center, P.C.

• Physical Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.