Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Ray Strange III

Individual provider Family Nurse Practitioner · NPI 1164086716

Charles Ray Strange III is a Nurse Practitioner in Wiggins, Mississippi. Qualified in 2018, 8 years ago. Practices with Physician Services of the Gulf Coast LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
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Practice location Address checks out

1130 Frontage Dr W
Wiggins, MS 39577-8165
Phone: (601) 716-8012
Fax: (601) 716-8013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903317 (MS)

Record details

NPI number1164086716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2019
Last updated in NPPESApril 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Physician Services Of The Gulf Coast Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wiggins