STACEY LORRIANE FEARS (NPI# 1922358027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922358027 |
| Entity Type | Individual |
| Full Name | STACEY LORRIANE FEARS |
| Credential | NP |
| Practice Address |
1003 Oak Rd Sw Ste B Lilburn GA 30047-1826 |
| Mailing Address |
2732 Ashworth Cir Snellville GA 30078-3204 |
| Practice Telephone | 4704161515 |
| Mailing Telephone | 7708553229 |
| Enumeration Date | 2012-09-16 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN173878 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3790 Pleasant Hill Rd Ste 260, Duluth, GA 300965147 | 6782269412 | 6782269413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477041895 | Stacey Lynne Fears | Behavior Technician | 10119 E Isleta Ave, Mesa, AZ 85209-7775 | 2018-05-01 |
| Street Address |
1003 OAK RD SW STE B |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043423510 | Wendy Fragoso | Physician Assistant | 1003 Oak Rd Sw Ste B, Lilburn, GA 30047-1826 | 2007-05-08 |
| 1720698426 | Open Hands Medical Center, LLC | Family Medicine | 1003 Oak Rd Sw Ste B, Lilburn, GA 30047-1826 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749284 | Hannah Camille Christopher | Nurse Practitioner | 3834 River Dr Sw, Lilburn, GA 30047-2140 | 2020-08-05 |
| 1376028639 | Janice A Scott | Nurse Practitioner | 3275 Landingview Ct, Lilburn, GA 30047-1405 | 2018-10-02 |
| 1649767310 | Anna Carolina Wheeler Wright | Nurse Practitioner | 707 Planters Row Sw, Lilburn, GA 30047-4142 | 2018-04-18 |
| 1033632047 | Esther Djangmaakwor Narhmartey-darku | Nurse Practitioner | 160 Emily Dr Sw, Lilburn, GA 30047-5268 | 2017-07-21 |
| 1790236040 | Gina Baptiste | Nurse Practitioner | 4603 Creek Forest Ct, Lilburn, GA 30047-8936 | 2016-10-21 |
| 1750787834 | Frederick Benjamin Kay Rovner | Nurse Practitioner | 4756 Habersham Rdg Sw, Lilburn, GA 30047-5603 | 2014-11-17 |
| 1073918280 | Almas Soyal Momin | Nurse Practitioner | 4025 Lawrenceville Highway, Suite A, Lilburn, GA 30047-3013 | 2014-10-30 |
| 1205189107 | Irene Stephanopoulos | Nurse Practitioner | 615 Beaver Ruin Rd Nw Ste B, Lilburn, GA 30047-3401 | 2012-10-17 |
| 1215115092 | Modesta S Hanley | Nurse Practitioner | 4030 Lawrenville Hwy, Georgia Clinic, PC, Lilburn, GA 30047 | 2008-02-05 |
| 1659395796 | Eleanore Reiss | Nurse Practitioner | 4153 Lawrenceville Hwy Nw, Suite 5, Lilburn, GA 30047-2854 | 2006-07-26 |
| Find all providers in LILBURN | ||||
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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.