Individual provider Active NPI

Nancy Elizabeth Strickland, PA.C

  • Physician Assistant
  • Homerville, GA
National Provider Identifier
1487714309
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003413 Issued in GA
Practice address
80 Huxford St
Homerville, GA 31634-2356
Phone
(912) 487-1737
Fax
(912) 487-1739
NPI assigned
Dec 11, 2006
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003413 GA Primary

Addresses

Primary practice location

80 Huxford St
Homerville, GA 31634-2356

Mailing address

264 Jernigan Farm Rd
Homerville, GA 31634-5302
Phone (912) 487-5211

Other identifiers 1

IdentifierTypeStateIssuer
100000864AMedicaidGA

Other names 1

  • Nancy Jernigan Strickland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000230 GA Practitioner - Physician Assistant 5890952691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinch County Hospital AuthorityGroup PAC ID 7416849922, 13 clinicians

Practice addresses (Care Compare)

1050 Valdosta Hwy
Homerville, GA 31634-9701
Phone (912) 487-5211

80 Huxford St
Homerville, GA 31634-2356
Phone (912) 470-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3413GAMDFoot & Ankle Surgery Podiatrist
003413GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch County Hospital Authority CurrentSince Aug 1, 2000 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Clinch County Hospital Authority Past Accepting new patients
Suwannee River Medical PastSince Apr 9, 2023 Accepting new patients
Southland Branch Family Practice, LLC Past Accepting new patients

Locations

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

380 N Church St
Homerville, GA 31634
Phone (912) 487-1737

80 Huxford St
Homerville, GA 31634
Phone (912) 470-2273

Interoperability endpoints

  • Direct secure messaging: njstrickla@yourcarecommunity.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1487714309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 JERNIGAN FARM RD",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316345302",
            "telephone_number": "912-487-5211",
            "fax_number": "912-487-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUXFORD ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342356",
            "telephone_number": "912-487-1737",
            "fax_number": "912-487-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "credential": "PA.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000864A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "STRICKLAND",
            "middle_name": "JERNIGAN",
            "credential": "PA.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Homerville, GA

Sources for this page

Verify at the official NPI Registry.