Individual provider Active NPI

Reanne Parrenas Stephansson, M.D.F.A.A.P

  • Pediatrics Physician
  • Alpharetta, GA
National Provider Identifier
1013177849
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
066084 Issued in GA
Practice address
11975 Morris Road
Ste 210
Alpharetta, GA 30005
Phone
(770) 664-0088
Fax
(770) 664-8228
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 066084 GA Primary

Addresses

Primary practice location

11975 Morris Road
Ste 210
Alpharetta, GA 30005

Mailing address

11975 Morris Road
Ste 210
Alpharetta, GA 30005
Phone (770) 664-0088

Other names 1

  • Reanne Parrenas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
066084GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Point Pediatrics Pediatrics Past Accepting new patients
Snapfinger Woods Pediatric Associates P C Pediatrics Past Accepting new patients
Pediatric Physicians, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14597/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rstephansson32550@choa.gadirect.net
  • Direct secure messaging: reanne.stephansson.1@14597.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1013177849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11975 MORRIS ROAD",
            "address_2": "STE 210",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-664-0088",
            "fax_number": "770-664-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS ROAD",
            "address_2": "STE 210",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-664-0088",
            "fax_number": "770-664-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANSSON",
        "first_name": "REANNE",
        "middle_name": "PARRENAS",
        "credential": "M.D.F.A.A.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "066084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REANNE",
            "last_name": "PARRENAS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.