Individual provider Active NPI

Patricia David Stratton, PH.D.

  • Psychologist
  • Blairsville, GA
National Provider Identifier
1497844591
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY002300 Issued in GA
Practice address
566 Murphy Hwy
Suite 204B
Blairsville, GA 30512-3068
Phone
(706) 781-1217
Fax
(706) 781-1218
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY002300 GA Primary

Addresses

Primary practice location

566 Murphy Hwy
Suite 204B
Blairsville, GA 30512-3068

Mailing address

566 Murphy Hwy
Suite 204B
Blairsville, GA 30512-3068
Phone (706) 781-1217

Other identifiers 2

IdentifierTypeStateIssuer
00819772BMedicaidGA
000819772AMedicaidGA

Other names 1

  • Virginia Patricia David Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Psychological Associates, LLP Psychologist PastSince Sep 17, 2012 Accepting new patients
Columbus Psychological Assoc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1497844591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 MURPHY HWY",
            "address_2": "SUITE 204B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123068",
            "telephone_number": "706-781-1217",
            "fax_number": "706-781-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 MURPHY HWY",
            "address_2": "SUITE 204B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123068",
            "telephone_number": "706-781-1217",
            "fax_number": "706-781-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "PATRICIA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00819772B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000819772A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "DAVID",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.