Provider Demographics
NPI:1134184062
Name:SEARCY, ANN-MAXWELL (FNP)
Entity type:Individual
Prefix:MS
First Name:ANN-MAXWELL
Middle Name:
Last Name:SEARCY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 HIGHWAY 515
Mailing Address - Street 2:STE 5
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512
Mailing Address - Country:US
Mailing Address - Phone:706-745-8790
Mailing Address - Fax:706-745-8842
Practice Address - Street 1:231 HIGHWAY 515
Practice Address - Street 2:STE 5
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512
Practice Address - Country:US
Practice Address - Phone:706-745-8790
Practice Address - Fax:706-745-8842
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN153721363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA681819855AMedicaid
GA681819855AMedicaid
GA50BBJBDMedicare PIN