STEPHANIE LYNN NELSON (NPI# 1649542143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649542143 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN NELSON |
| Other Name | STEPHANIE LYNN THOMAS |
| Credential | NP-C |
| Practice Address |
2209 Pineview Dr Valdosta GA 31602-7316 |
| Mailing Address |
5552 Union Rd Hahira GA 31632-4213 |
| Practice Telephone | 2295888215 |
| Mailing Telephone | 2292207654 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN190528 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
190528 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3541 North Crossing Circle, Valdosta, GA 31602 | 2292444200 | 2292444995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659804672 | Stephanie Nelson | Behavioral Analyst | 6607 S Rice Ave, Bellaire, TX 77401 | 2017-04-06 |
| 1982939112 | Stephanie Faye Nelson | Specialist/Technologist | 1333 W Washington St, Stephenville, TX 76401-4168 | 2009-10-06 |
| 1871747071 | Stephanie L Nelson | Durable Medical Equipment & Medical Supplies | 1470 Lewis Rd, White Plains, GA 30678-1103 | 2008-11-14 |
| 1265518856 | Stephanie Nicole Nelson | Social Worker | 613 Dodds Ave, Chattanooga, TN 37404-3911 | 2006-10-27 |
| 1568062347 | Stephanie Nelson | Technician | 6601 Autumn Glen Dr, West Chester, OH 45069-1479 | 2020-10-29 |
| 1962061796 | Stephanie Nelson | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2019-06-05 |
| 1053886457 | Stephanie M Nelson | Acupuncturist | 2532 E 6th St, Tucson, AZ 85716-4404 | 2018-10-11 |
| 1497258412 | Stephanie Marie Nelson | Specialist | 1 Odell Plaza, Yonkers, NY 10701 | 2018-03-15 |
| 1619329760 | Stephanie Nelson | Social Worker | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2016-07-12 |
| 1205206299 | Stephanie Nelson | Counselor | 119 Walnut St, Johnstown, PA 15901-1625 | 2015-10-02 |
| Street Address |
2209 PINEVIEW DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033160791 | Hospital Authority of Valdosta and Lowndes County Georgia | Clinic/Center | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2006-05-15 |
| 1619505765 | Southland Behavioral Health Services LLC | Family Medicine | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2020-04-01 |
| 1518590280 | Shalyn Janel Mcmichael | Recreation Therapist | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2020-02-20 |
| 1609230069 | Kenneth Lindsey Kiser | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2016-04-11 |
| 1083071898 | Julene Dorothy Smith | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2016-01-25 |
| 1538417753 | Greenleaf Center, LLC | Psychiatric Hospital | 2209 Pineview Dr, Valdosta, GA 31602 | 2012-08-20 |
| 1073762712 | Beacon Behavioral Healthcare, Inc. | Psychiatry & Neurology | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2008-09-18 |
| 1851547327 | Robert Juliusz Maydell | Psychiatry & Neurology | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2008-08-14 |
| 1841372984 | Carole W Nelson | Counselor | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2006-10-19 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600432 | Jenny Marie Reid | Nurse Practitioner | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2020-02-10 |
| 1205333424 | Shelby Lane Elder | Nurse Practitioner | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2018-04-13 |
| 1154878866 | Daniel Haney | Nurse Practitioner | 2704 N Oak St, Suite B-3, Valdosta, GA 31602-1744 | 2016-09-10 |
| 1083071898 | Julene Dorothy Smith | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2016-01-25 |
| 1174523005 | Judy Bickers | Nurse Practitioner | 3541 N Crossing Cir, Valdosta, GA 31602-1019 | 2005-07-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.