Individual provider Active NPI

Monique Jennifer Stage, FNP-BC

  • Family Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1174048474
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN266890 Issued in GA
Practice address
11459 Johns Creek Pkwy Ste 250
Johns Creek, GA 30097-3517
Phone
(770) 497-1555
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11037343 FL
Nurse Practitioner 363L00000X 24190071 VA
Nurse Practitioner 363L00000X 0036230 OH
Nurse Practitioner 363L00000X 121410 WV
Nurse Practitioner 363L00000X SP030761 PA
Nurse Practitioner 363L00000X 101.0137041 VT
Family Nurse Practitioner 363LF0000X RN266890 GA Primary
Nurse Practitioner 363L00000X 81134 NM

Addresses

Primary practice location

11459 Johns Creek Pkwy Ste 250
Johns Creek, GA 30097-3517

Mailing address

8535 Swiss Air PT
Gainesville, GA 30506-4873
Phone (470) 926-8543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VT, DC, PA, OH, FL, WV, VA, NM, NC, KY, ME12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20200406003379 GA Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 3 organizations
I20250115002872 VT Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 3 organizations
I20250116000234 DC Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 1 organization
I20250116000251 PA Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 7 organizations
I20250122003538 OH Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 5 organizations
I20250210000009 FL Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 6 organizations
I20250219000658 WV Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 4 organizations
I20250219000736 VA Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 4 organizations
I20250220000503 NM Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 3 organizations
I20250506000729 NC Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 3 organizations
I20251217002023 KY Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 2 organizations
I20260218001484 ME Practitioner - Nurse Practitioner 5991134389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Lumina Dr G Medical PLLCGroup PAC ID 4183152457, 11 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians
Caremed Health Solutions of Kentucky, LLCGroup PAC ID 4880071299, 24 clinicians
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

100 McWilliams Dr
Peachtree City, GA 30269-6948
Phone (770) 702-1864

101 McWilliams Dr
Peachtree City, GA 30269-6948
Phone (770) 487-7619

101 Yorktown Dr
Fayetteville, GA 30214-1578

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (212) 734-6621

11 Dairy LN
Fredericksburg, VA 22405-2663
Phone (516) 817-7093

1150 W Dorothy LN
Kettering, OH 45409-1305
Phone (212) 734-6621

1201 NE 175TH St
Miami, FL 33162-1240
Phone (516) 817-7093

1390 N Poplar Fork Rd
Hurricane, WV 25526-7112
Phone (212) 734-6621

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

1820 Oakview Rd
Ashland, KY 41101-3677
Phone (718) 534-0689

228 Smith Chapel Rd
Mount Olive, NC 28365-1917
Phone (212) 734-6621

300 Spring St
Westbrook, ME 04092-3915
Phone (516) 817-7093

3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600

596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (212) 734-6621

6700 Columbia Pike
Annandale, VA 22003-3450
Phone (703) 256-7000

Hospital & facility affiliations

  • Easton Skilled Nursing and Rehabilitation Center Nursing home, Easton, PA, CCN 395540
  • Casa Real Nursing home, Santa Fe, NM, CCN 325038
  • Bethlehem South Skilled Nursing and Rehabilitation Nursing home, Bethlehem, PA, CCN 395429
  • Heritage Center Nursing home, Huntington, WV, CCN 515060
  • Bethlehem North Skilled Nursing and Rehabilitation Nursing home, Bethlehem, PA, CCN 395527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11037343FLMDNurse Practitioner
81134NMMDNurse Practitioner
0036230OHMDNurse Practitioner
SP030761PAMDNurse Practitioner
24190071VAMDNurse Practitioner
101.0137041VTMDNurse Practitioner
121410WVMDNurse Practitioner
RN266890GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Jun 1, 2025 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Oct 9, 2023 Accepting new patients
Wound Med LLC CurrentSince Dec 9, 2025 Accepting new patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Dec 8, 2025 Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Nov 25, 2025 Accepting new patients
Post Acute Care Leaders LLC Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Evro Health LLC Family CurrentSince Jun 3, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Feb 12, 2020 Accepting new patients
Dr Rebman Medical PA CurrentSince Nov 1, 2025 Accepting new patients
Lumina Dr G Medical PLLC CurrentSince Feb 6, 2025 Accepting new patients
Dr Rebman BH LLC CurrentSince Nov 3, 2025 Accepting new patients
Dr Medical Services PC CurrentSince May 19, 2025 Accepting new patients
PMC Long Term Care, LLC CurrentSince Jun 1, 2020 Accepting new patients
Caremed Ohio LLC CurrentSince Sep 20, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Feb 12, 2020 Accepting new patients
Caremed PA PC Family CurrentSince Sep 20, 2025 Accepting new patients
North Chattahoochee Family Physicians, LLC PastSince Sep 4, 2001 Accepting new patients

Locations

633 NE 167th St
Ste 301
North Miami Beach, FL 33162

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

156 Pine Knoll Dr
Carrollton, GA 30117
Phone (770) 832-8243

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

190 Greencastle Rd
#2
Tyrone, GA 30290
Phone (770) 487-7807

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

300 Spring St
Westbrook, ME 04092
Phone (207) 856-1230

228 Smith Chapel Rd
Mount Olive, NC 28365
Phone (919) 658-9522

25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

117 Jacob Parrot Rd
Kenton, OH 43326
Phone (419) 674-4197

1150 W Dorothy Ln
Kettering, OH 45409
Phone (866) 871-1686

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

1022 N Union St
Middletown, PA 17057
Phone (717) 944-0491

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

596 Sheldon Rd
Saint Albans, VT 05478
Phone (802) 524-6534

1390 N Poplar Fork Rd
Hurricane, WV 25526
Phone (304) 757-7826

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8620/brand/1/csg/1/fhir/r4

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1174048474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 SWISS AIR PT",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305064873",
            "telephone_number": "470-926-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY STE 250",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973517",
            "telephone_number": "770-497-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGE",
        "first_name": "MONIQUE",
        "middle_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11037343",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "24190071",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0036230",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "121410",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030761",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0137041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN266890",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "81134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.