Stephanie Evelyn Snipes, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3943 Issued in GA

Practice address

1155 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-5425

Phone

(678) 442-0205

Fax

(678) 442-0185

NPI assigned

Oct 24, 2013

Last updated

Oct 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAHCDA/Endpoint/DAHCDA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baybol Pediatrics LLC

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1760858252
  NPD (past)
• Suwanee Pediatrics PC

  • Primary Care Clinic/Center
  • Lawrenceville, GA
  • NPI 1487886123
  NPD (past)

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1104254457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12465 STEVENS CREEK DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300057445",
            "telephone_number": "678-431-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LAWRENCEVILLE SUWANEE RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435425",
            "telephone_number": "678-442-0205",
            "fax_number": "678-442-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIPES",
        "first_name": "STEPHANIE",
        "middle_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "3943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Smith
• Tyleeshia Smith
• Whitney Smith, LPC
• William Armour Smith, LMSW
• Snellville Eye Surgery Center LLC
• Brittany Marie Snyder
• Eun Ha So, CRNA
• Laurence So, MD
• Kenneth Jay Sobel, M.D.
• Julieta C Sobremonte, PA

• Physician Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.