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

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

Practice location Address checks out

1130 Frontage Dr W
Wiggins, MS 39577-8165
Phone: (601) 716-8012
Fax: (601) 716-8013
Show map & directions

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
Mailing addressPo Box 1258, Waynesboro, TN 38485-1258

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