Active NPI
Monique Jennifer Stage, FNP-BC
- Family Nurse Practitioner
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN266890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
- Casa Real
- Bethlehem South Skilled Nursing and Rehabilitation
- Heritage Center
- Bethlehem North Skilled Nursing and Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11037343 | FL | MD | Nurse Practitioner |
| 81134 | NM | MD | Nurse Practitioner |
| 0036230 | OH | MD | Nurse Practitioner |
| SP030761 | PA | MD | Nurse Practitioner |
| 24190071 | VA | MD | Nurse Practitioner |
| 101.0137041 | VT | MD | Nurse Practitioner |
| 121410 | WV | MD | Nurse Practitioner |
| RN266890 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Funsch Jr, M.D., P.C. | Current | Accepting new patients | |
| Hardy Renew Wellness,LLC | Current | Accepting new patients | |
| Wound Med LLC | Current | Accepting new patients | |
| Provider Partners Care Management LP | Nurse Practitioner | Current | Accepting new patients |
| Caremed Health Solutions of Kentucky, LLC | Current | Accepting new patients | |
| Post Acute Care Leaders LLC | Nurse Practitioner | Current | Accepting new patients |
| Evro Health LLC | Family | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Dr Rebman Medical PA | Current | Accepting new patients | |
| Lumina Dr G Medical PLLC | Current | Accepting new patients | |
| Dr Rebman BH LLC | Current | Accepting new patients | |
| Dr Medical Services PC | Current | Accepting new patients | |
| PMC Long Term Care, LLC | Current | Accepting new patients | |
| Caremed Ohio LLC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Caremed PA PC | Family | Current | Accepting new patients |
| North Chattahoochee Family Physicians, LLC | Past | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Multi-Specialty Clinic/Center
- Ashland, KY
- NPI 1326789462
-
- Emergency Medicine Physician
- New York, NY
- NPI 1316784580
FL, NM, PA, WV
-
- Nursing Care Agency
- Shaker Heights, OH
- NPI 1790521060
-
- Emergency Medicine Physician
- New York, NY
- NPI 1700558798
FL, NC, OH, PA, VA, VT, WV
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1952914368
-
- Geriatric Medicine (Family Medicine) Physician
- Carrollton, GA
- NPI 1033689336
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Kenton, OH
- NPI 1669123949
-
- Family Nurse Practitioner
- Middletown, PA
- NPI 1891540431
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Santa Fe, NM
- NPI 1629556188
Nursing home
-
- Skilled Nursing Facility
- Bethlehem, PA
- NPI 1164132817
Nursing home
-
- Skilled Nursing Facility
- Bethlehem, PA
- NPI 1497465116
Nursing home
-
- Skilled Nursing Facility
- Easton, PA
- NPI 1598475204
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.