Individual provider Active NPI

Tiny Stephens, NP

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1053730325
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN233192 Issued in GA
Practice address
675 College Ave
Athens, GA 30601-2635
Phone
(706) 546-5526
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN233192 GA Primary
Registered Nurse 163W00000X RN233192 GA

Addresses

Primary practice location

675 College Ave
Athens, GA 30601-2635

Mailing address

675 College Ave
Athens, GA 30601-2635
Phone (706) 546-5526

Other practice location 1

1400 Live Oak Ln Bldg 100
Athens, GA 30606-5548
Phone (731) 394-1145

Other names 1

  • Tiny Dunston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204000183 GA Practitioner - Nurse Practitioner 1658785597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health Providers II LLCGroup PAC ID 5395284616, 39 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Chronic Disease Management of Georgia LLCGroup PAC ID 7618306721, 76 clinicians

Practice addresses (Care Compare)

1400 Live Oak LN
BLDG 100
Athens, GA 30606-5548
Phone (731) 394-1145

2600 Compass Rd
Glenview, IL 60026-8001

704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN233192GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chronic Disease Management of Georgia, LLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1053730325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 COLLEGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012635",
            "telephone_number": "706-546-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 COLLEGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012635",
            "telephone_number": "706-546-5526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Live Oak Ln Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306065548",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "TINY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN233192",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN233192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINY",
            "last_name": "DUNSTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.