STACIE NEWBERN (NPI# 1174062210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174062210 |
| Entity Type | Individual |
| Full Name | STACIE NEWBERN |
| Practice Address |
7 Dellwood Cir Valdosta GA 31602-2335 |
| Practice Telephone | 2292633787 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
7 DELLWOOD CIR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289674 | Erik Matthew Zajdel | Case Manager/Care Coordinator | 4189 Waterberry Cir, Valdosta, GA 31602-7606 | 2020-03-08 |
| 1992277552 | Stephanie Cook Osheim | Case Manager/Care Coordinator | 4041 Mulligan Rd, Valdosta, GA 31605-6094 | 2018-12-20 |
| 1154830206 | Michelle Mahas | Case Manager/Care Coordinator | 4252 Old Bemiss Rd, Valdosta, GA 31605-6322 | 2017-09-20 |
| 1013311968 | Michelle Henry | Case Manager/Care Coordinator | 1708 Charlton St, Valdosta, GA 31602-3101 | 2014-10-20 |
| 1831592567 | Tonda Igbo | Case Manager/Care Coordinator | 1743 Largo Cir, Valdosta, GA 31602-7156 | 2014-10-08 |
| 1871902874 | Mikeya Vega | Case Manager/Care Coordinator | 3961 Heatherwoods Dr, Valdosta, GA 31605-5230 | 2014-08-05 |
| 1699013144 | Rhonda Hoffman | Case Manager/Care Coordinator | 200 Brookview Ter, Valdosta, GA 31605-6406 | 2013-01-17 |
| 1508119900 | Daphne H Pope | Case Manager/Care Coordinator | 1614 Charter Oaks Dr, Valdosta, GA 31601-3406 | 2012-10-23 |
| 1417209149 | Donna V. Ross | Case Manager/Care Coordinator | 2122 Lakeshore Dr, Valdosta, GA 31602-2133 | 2012-10-04 |
| 1205111952 | Emily M. Lankford Graham | Case Manager/Care Coordinator | 3595 Becky St, Valdosta, GA 31605-5228 | 2011-10-13 |
| Find all providers in VALDOSTA | ||||
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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.