Active NPI
Stacey Marie Clifton, FNP
- Family Nurse Practitioner
- Metter, GA
National Provider Identifier
1043063860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN238211
- Practice address
- 10388 Ga Highway 23 N
Metter, GA 30439-8564 - Phone
- (912) 687-4660
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN238211 | GA | Primary |
Addresses
Primary practice location
10388 Ga Highway 23 N
Metter, GA 30439-8564
Mailing address
10388 Ga Highway 23 N
Metter, GA 30439-8564
Phone (912) 687-4660
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN238211 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1043063860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10388 GA HIGHWAY 23 N",
"city": "METTER",
"state": "GA",
"postal_code": "304398564",
"telephone_number": "912-687-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10388 GA HIGHWAY 23 N",
"city": "METTER",
"state": "GA",
"postal_code": "304398564",
"telephone_number": "912-687-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "STACEY",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN238211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metter, GA
- Carepartners of Georgia
- Melissa Sue Cartrette, AGNP
- CCH Physician Group, LLC
- Erin Garrett Chalker, RPH
- William Wesley Clance Jr.
- Companion Care at Home, LLC (Companion Care Senior Services)
- Companion Care of Georgia, LLC (Companion Care of Georgia)
- Loy D Cowart III, MD
- Matthew Demore III, D.P.M.
- Phyllis Franklin Dixon, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.