DR. JOEL M STEWART JR. (NPI# 1447293584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447293584 |
| Entity Type | Individual |
| Full Name | DR. JOEL M STEWART JR. |
| Other Name | DR. JOEL M STEWART JR. |
| Credential | M.D. |
| Practice Address |
874 Lanier Ave W Suite 100 Fayetteville GA 30214-7662 |
| Practice Telephone | 7707147802 |
| Practice Fax Number | 7707147802 |
| Mailing Telephone | 7707147802 |
| Mailing Fax Number | 7707147802 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
67338 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009941756 | 05 | |
| AL | MEDICARE PROVIDER NUMBER | 051539652 | 01 |
| BLUE CROSS OF ALABAMA UP | I57381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467750877 | Joel R Stewart | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2011-03-09 |
| 1093789430 | Joel D. Stewart | Orthopaedic Surgery | 250 Nat Turner Blvd S, Newport News, VA 23606 | 2006-02-14 |
| Street Address |
874 LANIER AVE W SUITE 100 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023425881 | Valentine Weight Loss & Wellness Center | Clinic/Center | 874 Lanier Ave W, Suite 210, Fayetteville, GA 30214-7662 | 2014-07-14 |
| 1639416365 | Fayette Plasticsurgery Center LLC | Clinic/Center | 874 Lanier Ave W, Suite 100, Fayetteville, GA 30214-7662 | 2013-01-15 |
| 1760733448 | Truffles Vein Center, LLC | Plastic Surgery | 874 Lanier Ave W, Suite 120, Fayetteville, GA 30214-7662 | 2012-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811192552 | Cape Fear Aesthetics LLC | Plastic Surgery | 2053 Valleygate Dr, Ste. 102, Fayetteville, NC 28304-3688 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851486955 | Louis Michael Dejoseph | Plastic Surgery | 6085 Barfield Road Northeast Suite 100, Atlanta, GA 30328 | 2006-10-04 |
| 1518212166 | Maria Helena Nascimento De Lima | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2012-07-19 |
| 1871829192 | Oculofacial Plastic Surgeons of Georgia, LLC | Plastic Surgery | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2009-10-21 |
| 1376689901 | Clinton D. Mccord Jr. | Plastic Surgery | 3200 Downwood Cir Nw, Suite 640, Atlanta, GA 30327-1610 | 2007-01-30 |
| 1467494559 | Patricia Yugueros | Plastic Surgery | 6335 Hospital Pkwy, Suite 216, Johns Creek, GA 30097-1549 | 2006-06-12 |
| 1104883859 | William E Silver | Plastic Surgery | 980 Johnson Fy Rd Ne, Ste 110, Atlanta, GA 30342-1626 | 2006-04-27 |
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.