MRS. CERETHA STEPHENS (NPI# 1124061791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124061791 |
| Entity Type | Individual |
| Full Name | MRS. CERETHA STEPHENS |
| Credential | ARNP |
| Practice Address |
139 Henry Pkwy Mcdonough GA 30253 |
| Mailing Address |
1779 Stanton Rd Sw # A201 Atlanta GA 30311-4108 |
| Practice Telephone | 7703585252 |
| Mailing Telephone | 8503393245 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
211903NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
211903 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003104504G | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1779 Stanton Rd Sw, Atlanta, GA 303114108 | 8503393245 |
| Street Address |
139 HENRY PKWY |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616869 | Bennecia Gilbert | Specialist/Technologist | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2020-10-14 |
| 1942813696 | Luiz Torreao | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2020-08-24 |
| 1316501810 | Dianna Narbon | Licensed Practical Nurse | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2019-04-30 |
| 1700373685 | Dherby Georges-ramdeen | Nurse Practitioner | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2018-04-17 |
| 1679010201 | Karen Lewis | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2017-01-20 |
| 1619379997 | Lisa K Parker | Social Worker | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2014-09-18 |
| 1528303716 | Laura R Kemp | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2012-11-29 |
| 1639429517 | Sarah Mccollum Osborn | Social Worker | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2012-09-18 |
| 1790058519 | Casey Jo Westphall | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2012-02-10 |
| 1902173990 | Donna Marie Mcdonald | Counselor | 139 Henry Pkwy, Mcdonough, GA 30253-6636 | 2011-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183006 | Ozioma Ananaba | Nurse Practitioner | 525 Camano Way, Mcdonough, GA 30253-8377 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
| 1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
| 1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.