STACEY WILSON (NPI# 1659612075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659612075 |
| Entity Type | Individual |
| Full Name | STACEY WILSON |
| Credential | NP |
| Practice Address |
275 Collier Rd Nw Suite 500 Atlanta GA 30309-1709 |
| Practice Telephone | 4046052800 |
| Practice Fax Number | 4043515983 |
| Mailing Telephone | 4046052800 |
| Mailing Fax Number | 4043515983 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN155163 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217628 | Stacey Janette Wilson | Marriage & Family Therapist | 235 Michigan Avenue, Cary, NC 27519 | 2018-09-01 |
| 1760911176 | Stacey Lynn Wilson | Nurse Practitioner | 226 Madison 7875, Wesley, AR 72773 | 2017-06-08 |
| 1689100992 | Stacey Lynn Wilson | Physical Therapy Assistant | 3022 Yorktown Ct, Lafayette, IN 47909-3212 | 2017-05-05 |
| 1548670433 | Stacey Wilson | Behavioral Analyst | 8324 Cedar Chase Dr, Fountain, CO 80817-4030 | 2014-05-01 |
| 1477832558 | Stacey Wilson | Counselor | 100 Airport Rd #366, Mountain Village, AK 99632 | 2011-08-08 |
| 1548549801 | Stacey Elizabeth Wilson | Speech-Language Pathologist | 507 N Hook St, Tuscumbia, AL 35674-1867 | 2011-08-04 |
| 1609169689 | Stacey Wilson | Rehabilitation Practitioner | 4323 Banyan Ct, Sparks, NV 89436-0602 | 2011-05-24 |
| 1194981035 | Stacey Wilson | Pharmacist | 12078 Hwy 231 431 N, Meridianville, AL 35759-1225 | 2008-07-30 |
| 1609498849 | Stacey Wilson | Nurse Practitioner | 3 Saint Francis Dr, Greenville, SC 29601-3971 | 2020-05-11 |
| 1750883005 | Stacey Wilson | Social Worker | 6414 Oaklandon Rd, Indianapolis, IN 46236-2961 | 2018-03-02 |
| Street Address |
275 COLLIER RD NW SUITE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637231 | Carlos E Lopez | Internal Medicine | 275 Collier Rd Nw, Ste 450, Atlanta, GA 30309-1709 | 2005-05-23 |
| 1255820759 | Jordan Arielle Bicher | Physician Assistant | 275 Collier Rd Nw, Atlanta, GA 30309-1709 | 2018-05-09 |
| 1053865956 | Kathryn Anne Folkner | Physician Assistant | 275 Collier Rd Nw, Suite 450, Atlanta, GA 30309-1709 | 2016-08-09 |
| 1144680364 | Preethy Koothur Mathew | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2016-03-01 |
| 1659753200 | Jacob Allen | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2015-06-19 |
| 1932589892 | Joseph M Woods Iv, Md, LLC | Specialist | 275 Collier Rd Nw, Suite 200, Atlanta, GA 30309-1709 | 2015-06-05 |
| 1790176501 | Kristin Sparks | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2015-02-16 |
| 1023409836 | Andrew Matey | Nurse Practitioner | 275 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1709 | 2015-02-16 |
| 1720488869 | Mariae Kilroy | Nurse Practitioner | 275 Collier Rd Nw, Suite 100-c, Atlanta, GA 30309-1709 | 2014-08-26 |
| 1295135358 | Judith Cox | Advanced Practice Midwife | 275 Collier Rd Nw, Suite 100 C, Atlanta, GA 30309-1709 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| Find all providers in ATLANTA | ||||
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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.