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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9823 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3955 COPPER LEAF LN |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 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 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 |
| Find all providers in CUMMING | ||||
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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.