Fred Stinson III

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

007333 Issued in GA

Practice address

414 Allen Dr
Dublin, GA 31021-3847

Phone

(478) 274-0036

Fax

(478) 274-0036

NPI assigned

Jul 20, 2014

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405814400000",
    "number": "1083021281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ALLEN DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213847",
            "telephone_number": "478-274-0036",
            "fax_number": "478-274-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ALLEN DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213847",
            "telephone_number": "478-274-0036",
            "fax_number": "478-274-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "FRED",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-20",
        "last_updated": "2014-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1567",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "007333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cayce N. Sterling, RN
• Deborah Sterling
• Lauren Stevens, OTR/L
• Jacquelyn Elaine Stevenson, PHARM-D
• Tracey Stewart, PHARM D
• Aja Stokes, RD
• Lisa Marie Strange, LPN
• April Rae Stratford, D.C.
• Jeffrey Brian Stratford, DC
• Aaron Todd Street, CRNA

• Professional Counselor in Dublin, GA
• Providers in Dublin, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2014; 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.