Active NPI
Lydia Stearns, PA-C
- Physician Assistant
- Savannah, GA
National Provider Identifier
1174046635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 008416
- Practice address
- 1601 Abercorn St
Savannah, GA 31401-7521 - Phone
- (912) 712-2550
- Fax
- (912) 480-0518
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008416 | GA | Primary |
Addresses
Primary practice location
1601 Abercorn St
Savannah, GA 31401-7521
Mailing address
1601 Abercorn St
Savannah, GA 31401-7521
Phone (912) 712-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659731826 | Other | GA | GROUP- TYPE II |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3155 Roswell Rd NE
Suite 140
Atlanta, GA 30305-1836
Phone (702) 919-1508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008416 | GA | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Savannah, GA
- NPI 1659731826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1174046635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314017521",
"telephone_number": "912-712-2550",
"fax_number": "912-480-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314017521",
"telephone_number": "912-712-2550",
"fax_number": "912-480-0518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEARNS",
"first_name": "LYDIA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "008416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP- TYPE II",
"identifier": "1659731826",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.