Stephanie Ann Hyson-Guevara, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005300 Issued in GA

Practice address

40 Fox Chase
Cartersville, GA 30120-2491

Phone

(770) 382-0185

Fax

(770) 382-0247

NPI assigned

Sep 7, 2007

Last updated

Jan 7, 2022By 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

Enrolled in GA

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 1

Specialty

Physician Assistant

Education

Baylor College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group
• Qcpi-Villagemd, PC

  dba Village Medical

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432
  Medicare reassignment
• Endocrine Specialists of Georgia, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Cartersville, GA
  • NPI 1902407307
  NPD
• Wellstar Medical Group, LLC

  dba WellStar Internal Medicine (Lovett)

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1700138955
  NPD
• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Cartersville, GA
  • NPI 1467016055
  NPD (past)
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD (past)
• Ochsner Clinic LLC

  dba Ochsner Health Center - Tchoupitoulas

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1033602891
  NPD (past)
• Ochsner Clinic LLC

  dba Ochsner Baptist

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1043780281
  NPD (past)
• Ochsner Clinic LLC

  dba Ochsner Urgent Care - River Ridge

  • General Practice Physician
  • River Ridge, LA
  • NPI 1053850446
  NPD (past)
• Ochsner Clinic LLC

  dba OHC - Mid City NO

  • General Practice Physician
  • New Orleans, LA
  • NPI 1184051765
  NPD (past)
• Ochsner Clinic LLC

  dba Ochsner Clinic - Main Campus Satellite - Pediatric Infusion Suite

  • General Practice Physician
  • New Orleans, LA
  • NPI 1184957193
  NPD (past)
• Ochsner Clinic LLC

  dba Ochsner for Children New Orleans

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1245446384
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1174718647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2016",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301201684",
            "telephone_number": "770-382-0185",
            "fax_number": "770-382-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOX CHASE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202491",
            "telephone_number": "770-382-0185",
            "fax_number": "770-382-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSON-GUEVARA",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D Hubbell, MD
• Angelina Afeni Hunt
• Mercedes Hutch Thompson, CADCT
• Allen Robert Hutchins, DDS
• John Hwang, MD
• I Care Senior Care Home LLC
• Udunma Nduka Ikoro, MD
• In Home Health LLC (ProMedica Hospice (Cartersville))
• In Home Health, LLC (ProMedica Hospice (Cartersville))
• Independent Physical Therapy of Ga, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.

Verify at the official NPI Registry.