MRS. STACY L CLINE (NPI# 1770909566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770909566 |
| Entity Type | Individual |
| Full Name | MRS. STACY L CLINE |
| Credential | FNP-C |
| Practice Address |
4791 S Main St Ste 100 Acworth GA 30101-5324 |
| Practice Telephone | 7704221400 |
| Practice Fax Number | 7704222340 |
| Mailing Telephone | 4042511600 |
| Mailing Fax Number | 7704222340 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN188323 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497090609 | Stacy Cline | Physical Therapy Assistant | 117 Bartlett St, Marietta, OH 45750-2683 | 2012-11-29 |
| Street Address |
4791 S MAIN ST STE 100 |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750678843 | Michael Victor Shibley | Physician Assistant | 4791 S Main St Ste 100, Acworth, GA 30101-5324 | 2011-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259182 | Elizabeth L Watson | Nurse Practitioner | 1206 Regiment Ct Nw, Acworth, GA 30101-3563 | 2020-09-09 |
| 1194349704 | Susan Ngeny | Nurse Practitioner | 504 Rendezvous Rd, Acworth, GA 30102-8803 | 2020-05-31 |
| 1295238343 | Levada Chante Burgess-graham | Nurse Practitioner | 84 Trillium Ln, Acworth, GA 30101-8386 | 2018-03-15 |
| 1518467000 | Divine Family Healthcare Services, LLC | Nurse Practitioner | 1720 Mars Hill Rd Nw Ste 4, Acworth, GA 30101-8089 | 2018-02-20 |
| 1720598030 | Prodiagnostics Medical Center | Nurse Practitioner | 6460 Highway 92 Ste 200, Acworth, GA 30102-2998 | 2017-10-02 |
| 1093236739 | Tracey-ann Harriott | Nurse Practitioner | 1928 Paddock Path Dr Nw, Acworth, GA 30102-0702 | 2017-07-03 |
| 1275072571 | Saima Aziz Hashmi | Nurse Practitioner | 6384 Garvey Ln Nw, Acworth, GA 30101-8062 | 2017-02-20 |
| 1407210156 | Mary Muranja | Nurse Practitioner | 4671 Howell Farms Dr Nw, Acworth, GA 30101-3439 | 2016-04-08 |
| 1548692221 | Kirkley Griffeth Jock | Nurse Practitioner | 4421 Carnes Street, Acworth, GA 30101-5305 | 2013-08-05 |
| 1730442955 | Katharine Marie Harper | Nurse Practitioner | 1230 Mars Hill Rd Nw, Acworth, GA 30101-4659 | 2012-06-21 |
| Find all providers in ACWORTH | ||||
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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.