Active NPI
James Ronald Stephens, M.D.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Cumming, GA
National Provider Identifier
1073757472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 016287
- Practice address
- 1505 Northside Blvd
Suite 1300
Cumming, GA 30041-7623 - Phone
- (404) 686-2288
- Fax
- (678) 638-7015
- NPI assigned
- Apr 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 016287 | GA | Primary |
| Wound Care Registered Nurse | 163WW0000X | 016287 | GA |
Addresses
Primary practice location
1505 Northside Blvd
Suite 1300
Cumming, GA 30041-7623
Mailing address
1341 Canton Rd
Suite a
Marietta, GA 30066-6056
Phone (770) 422-0517
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016287 | GA | MD | Wound Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Atlanta, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a74b5677-a506-4100-881e-d18e68399558/
Organizations & group practices 1
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.
-
- Specialist
- Atlanta, GA
- NPI 1821114786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1073757472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 CANTON RD",
"address_2": "SUITE A",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666056",
"telephone_number": "770-422-0517",
"fax_number": "678-638-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 NORTHSIDE BLVD",
"address_2": "SUITE 1300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417623",
"telephone_number": "404-686-2288",
"fax_number": "678-638-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "JAMES",
"middle_name": "RONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "GA",
"license": "016287",
"primary": true
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "GA",
"license": "016287",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.