Individual provider Active NPI

Tricia Diane Howard, PA

  • Medical Physician Assistant
  • Richmond Hill, GA
National Provider Identifier
1801903380
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
004085 Issued in GA
Practice address
60 Exchange St
Richmond Hill, GA 31324-7644
Phone
(912) 756-2273
Fax
(912) 756-3773
NPI assigned
Aug 23, 2006
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 004085 GA Primary

Addresses

Primary practice location

60 Exchange St
Richmond Hill, GA 31324-7644

Mailing address

60 Exchange St
Richmond Hill, GA 31324-7644
Phone (912) 756-2273

Other names 1

  • Miss Tricia Diane Arnold Former 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
I20061010000139 GA Practitioner - Physician Assistant 8921004292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004085GAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1801903380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EXCHANGE ST",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247644",
            "telephone_number": "912-756-2273",
            "fax_number": "912-756-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EXCHANGE ST",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247644",
            "telephone_number": "912-756-2273",
            "fax_number": "912-756-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "TRICIA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "ARNOLD",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

Verify at the official NPI Registry.