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MS. VICKY GAYE SURRATT MA FNP-BC NPI 1154406411


NPI Information

NPI: 1154406411
Provider Name: MS. VICKY GAYE SURRATT, MA FNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
125 ASHLEYBROOK SQUARE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-6577
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MS. Vicky Gaye Surratt, MA FNP-BC is a psychiatric/mental health nurse practitioner in Winston Salem, NC with 44 years of experience. MS. Vicky Gaye Surratt, MA FNP-BC NPI is 1154406411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1980

The provider's business location address is:

125 ASHLEYBROOK SQUARE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-6577

The NPI 1154406411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90836)

The enumeration date for this NPI number is 10/26/2006 and was last updated on 12/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist1272NORTH CAROLINANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health22112NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P39857MEDICARE UPIN
22599517BMEDICARE ID-TYPE UNSPECIFIED
36005004MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.