STETSON LEE CARROLL


Address: 3955 Copper Leaf Ln, Cumming, GA 30040-4168
Phone: 7759347323

STETSON LEE CARROLL (NPI# 1770105371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770105371
Entity Type Individual
Full Name STETSON LEE CARROLL
Practice Address 3955 Copper Leaf Ln
Cumming
GA 30040-4168
Practice Telephone 7759347323
Mailing Telephone 7759347323
Enumeration Date 2020-05-18
Last Update Date 2020-10-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 9823 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3955 COPPER LEAF LN
City CUMMING
State GA
Zip Code 30040-4168

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NPI Name Taxonomy Address Enumeration
1427684729 Am Nollenberger Counseling Counselor 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 2020-03-18
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1407415615 Jacqueline Small Nurse Practitioner 407 W Maple St # 101, Cumming, GA 30040 2019-06-11
1336706316 Mary Kathleen Hesidence Nurse Practitioner 81 Northside Dr, #100, Dawsonville, GA 30040 2019-05-24
1851958334 North Georgia Pathology Pathology 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 2019-05-21
1598320087 Emily Rebecca Downs Physician Assistant 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 2019-05-09
1215490057 Shine Speech Language Therapy LLC Speech-Language Pathologist 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 2019-04-09
1417430075 Ashley Michelle Nollenberger Counselor 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 2018-09-10
1518445410 Village Pediatrics At Vickery Pediatrics 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 2018-08-02
1306339841 Fukuzato Eyecare, Inc Optometrist 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 2018-06-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144865551 William Phillip Whitlock Physician Assistant 6325 Oak Valley Dr, Cumming, GA 30040-6484 2019-11-08
1598320087 Emily Rebecca Downs Physician Assistant 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 2019-05-09
1396206728 Sydney Lane Kent Physician Assistant 4555 Azurite St, Cumming, GA 30040-0650 2019-03-28
1437697893 Holly Musgrove Physician Assistant 1780 Peachtree Pkwy # 302, Cumming, GA 30041-6834 2017-02-06
1386938611 Amanda Gilleland Appling Physician Assistant 3970 Deputy Bill Cantrell Memorial Rd., Ste 203, Cumming, GA 30040 2011-06-03
1578867040 Holly Marie Shalhoop Physician Assistant 1800 Northside Forsyth Dr Ste 370, Cumming, GA 30041-8483 2010-12-27
1326358920 Stephenie Wing Tsui Physician Assistant 1505 Northside Blvd Ste 2800, Cumming, GA 30041-8005 2010-10-15
1396997235 Wanda G. Buchheit Physician Assistant 6825 Turning Leaf Ct, Cumming, GA 30028-4773 2008-10-22
1548395957 Edward Harley Gaile Sr. Physician Assistant 1505 Northside Forsyth Dr, Ste 3600, Cumming, GA 30041 2007-02-23
1629184221 Donald D Sams Physician Assistant 4730 Hammond Industrial Dr, #400, Cumming, GA 30041-3917 2006-08-23
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Competitor

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City CUMMING
Zip Code 30040

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Dataset Information

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.

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