Stephanie Collier

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN124911 Issued in GA

Practice address

625 Carver Rd
Griffin, GA 30224-3937

Phone

(770) 227-9222

Fax

(678) 688-3891

NPI assigned

Oct 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reliance Health and Home Physician Services, IncGroup PAC ID 4385920107, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reliance Health and Home Physician Services, Inc.

  • General Practice Physician
  • Griffin, GA
  • NPI 1740638436
  Medicare reassignment Care Compare group NPD
• Christian Ministries Hospice, Inc

  • Community Based Hospice Care Agency
  • Riverdale, GA
  • NPI 1073694683
  NPD
• Christian Ministries Hospice, Inc

  • Community Based Hospice Care Agency
  • Griffin, GA
  • NPI 1346321932
  NPD

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1073112249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 STONE MILL WALK",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302245465",
            "telephone_number": "678-953-3528",
            "fax_number": "678-688-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CARVER RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243937",
            "telephone_number": "770-227-9222",
            "fax_number": "678-688-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2022-06-18",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "006385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN124911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Coker, MD
• Marian Cole, RN
• Alexus Colemon, PT, DPT
• Collier Home Hospice LLC
• Collier Outreach Ministries
• Tante Colquitt
• Compassionate Speech and Language Services LLC
• Laura Conn, LPC, PMHNP
• Connect Hearing, Inc
• Christa Cook, PT

• Family Nurse Practitioner in Griffin, GA
• Providers in Griffin, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.