Individual provider Active NPI

Marcia Laverne Taylor Stevens, F.N.P.

  • Family Nurse Practitioner
  • Milledgeville, GA
National Provider Identifier
1184054983
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP-NP RN093986 Issued in GA
Practice address
800 N Glynn St
Itu at Milledgeville
Milledgeville, GA 31061-5011
Phone
(478) 445-3033
NPI assigned
Nov 15, 2013
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP-NP RN093986 GA Primary

Addresses

Primary practice location

800 N Glynn St
Itu at Milledgeville
Milledgeville, GA 31061-5011

Mailing address

800 N Glynn St
Milledgeville, GA 31061-5011
Phone (478) 445-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP-NP RN093986GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1184054983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N GLYNN ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310615011",
            "telephone_number": "478-445-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N GLYNN ST",
            "address_2": "ITU AT MILLEDGEVILLE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310615011",
            "telephone_number": "478-445-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR STEVENS",
        "first_name": "MARCIA",
        "middle_name": "LAVERNE",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "AP-NP RN093986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.