Debra B Paschal, CERTIFIED NURSE PRAC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN060102 Issued in GA

Practice address

260 W Clinton St
Gray, GA 31032-5430

Phone

(478) 986-4743

Fax

(478) 986-3921

NPI assigned

May 12, 2006

Last updated

Feb 5, 2015By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Dermatology and Skin Cancer Center, LLCGroup PAC ID 7113980855, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Georgia Dermatology & Skin Cancer Center, LLC

  • Dermatology Physician
  • Dublin, GA
  • NPI 1063460459
  Medicare reassignment Care Compare group NPD
• Surgeoncare Physicians of Georgia, LLC

  • Surgery Physician
  • Commerce, GA
  • NPI 1720228216
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1831149319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W CLINTON ST",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325430",
            "telephone_number": "478-986-4743",
            "fax_number": "478-986-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W CLINTON ST",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325430",
            "telephone_number": "478-986-4743",
            "fax_number": "478-986-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHAL",
        "first_name": "DEBRA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED NURSE PRAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN060102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52023632",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nra-Gray, Georgia, LLC (Gray Dialysis Center)
• Nkechi Okechukwu, M.D
• Brian Sterling Paramore, CNP
• Ashley Patrice Parent-Lew, FNP
• Jonathan Parsons
• Maulikkumar Arvindbhai Patel, MD
• Teneca Patterson, RN, MSN
• Subrena Pitts, CNA
• Melissa D Primrose, M.D.
• Betty Lou Yul Riner, APRN

• Nurse Practitioner in Gray, GA
• Providers in Gray, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.