STACY B BUCHANAN (NPI# 1497764476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497764476 |
| Entity Type | Individual |
| Full Name | STACY B BUCHANAN |
| Credential | RN, MS, CPNP |
| Practice Address |
980 Lawrenceville Hwy Lawrenceville GA 30045-4706 |
| Practice Telephone | 7709628025 |
| Practice Fax Number | 7708221573 |
| Mailing Telephone | 7709628025 |
| Mailing Fax Number | 7708221573 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN160752 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
980 LAWRENCEVILLE HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386667020 | Michael Walter Tim | Pediatrics | 980 Lawrenceville Hwy, Lawrenceville, GA 30045-4706 | 2006-07-25 |
| 1912169079 | Mary Cardina Mobbs | Nurse Practitioner | 980 Lawrenceville Hwy, Lawrenceville, GA 30046-4706 | 2008-06-30 |
| 1053325027 | Lawrenceville Pediatrics, P.C. | Pediatrics | 980 Lawrenceville Hwy, Lawrenceville, GA 30045-4706 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750858056 | Amanda Bennett | Nurse Practitioner | 2000 Riverside Pkwy Ste 207, Lawrenceville, GA 30043-5926 | 2018-10-25 |
| 1306459250 | Erin Ashley Cox | Nurse Practitioner | 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 | 2020-08-28 |
| 1811511140 | Oanh Ngoc Thi Tran | Nurse Practitioner | 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 | 2020-06-02 |
| 1487168605 | Stephanie Jones | Nurse Practitioner | 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2017-11-27 |
| 1689119299 | Emily Griffin Roper | Nurse Practitioner | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2017-01-05 |
| 1104371434 | Andrea E Piscadlo | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2016-08-16 |
| 1699113308 | Elizabeth Hill | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2013-06-05 |
| 1386999613 | Amanda Lee Carlton | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2012-07-24 |
| 1841580420 | Pediatric Associtaes of Lawrenceville, LLC | Nurse Practitioner | 755 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2011-04-15 |
| 1144528928 | Lauren Ashley Garmon | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2011-03-03 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on STACY B BUCHANAN.
| 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.