STACY MARIE EATON (NPI# 1699132605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699132605 |
| Entity Type | Individual |
| Full Name | STACY MARIE EATON |
| Credential | AGPCNP |
| Practice Address |
1315 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501-3822 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7708487246 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN205801 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN205801 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN205801 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN205801 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1315 JESSE JEWELL PKWY NE STE 300 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295729945 | Ann Marie Byers | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2005-09-08 |
| 1477104834 | Rachel Lynn Metz | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2019-09-26 |
| 1194176446 | Nhi-kieu Nguyen | Family Medicine | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2016-06-28 |
| 1396088027 | Ava Ferdinand | Psychiatry & Neurology | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2013-04-01 |
| 1639422983 | Natalya Kovalenko | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2012-10-24 |
| 1942567060 | James Nathaniel Starr | Psychiatry & Neurology | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2012-04-13 |
| 1013292382 | Laura J Banner | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2011-10-18 |
| 1023176369 | James Patrick Mullin | Clinical Neuropsychologist | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2006-12-05 |
| 1639253818 | Devin Paige Vicknair | Counselor | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2006-10-25 |
| 1073609756 | John E Delzell Jr. | Family Medicine | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3822 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468899 | Mca Medical Consulting & More, Pllc | Nurse Practitioner | 5083 Nw 22nd St, Gainesville, FL 32605-5475 | 2018-05-23 |
| 1174139026 | Corey Barron | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-16 |
| 1588293716 | Deanna Steele Defoor | Nurse Practitioner | 2150 Limestone Pkwy Ste 222, Gainesville, GA 30501-2567 | 2020-04-08 |
| 1801445903 | Robin Suzanne Brown | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2019-09-11 |
| 1538714332 | Tracee Roberson Williams | Nurse Practitioner | 2004 Mowry Rd, Uf Institue On Aging; Department of Aging and Geriatric, Gainesville, FL 32603 | 2019-08-08 |
| 1194382994 | Shelia H Bradshaw | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2019-05-28 |
| 1437610631 | Anna Komoto | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2019-03-29 |
| 1467920157 | Tina T Chaphe | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2018-11-12 |
| 1497239461 | Samantha L Privett | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2018-09-17 |
| 1114408366 | Starr C Weather | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501 | 2018-08-26 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on STACY MARIE EATON.
| 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.