Active NPI
Laura Marie Stefanic, DNP, ARNP
- Pediatric Nurse Practitioner
- Dawsonville, GA
National Provider Identifier
1215220348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 336366
- Practice address
- 300 Dawson Commons Cir Ste 320
Dawsonville, GA 30534-6268 - Phone
- (216) 706-2771
- NPI assigned
- May 23, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9320010 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | 336366 | GA | Primary |
Addresses
Primary practice location
300 Dawson Commons Cir Ste 320
Dawsonville, GA 30534-6268
Mailing address
300 Dawson Commons Cir
Dawsonville, GA 30534-6268
Phone (706) 216-2771
Other practice location 1
1200 Bald Ridge Marina Rd Ste 100
Cumming, GA 30041-7542
Phone (216) 706-2771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y08FG | Other | FL | BLUE CROSS BLUE SHIELD |
| 003555500 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336366 | GA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Dawson Pediatrics,PC | Past | Accepting new patients |
Interoperability endpoints
- lstefanic@dawson.pcc-direct.com
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- lstefanic59510@direct.tgh.org
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Pediatrics Physician
- Dawsonville, GA
- NPI 1750435749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1215220348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 DAWSON COMMONS CIR",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305346268",
"telephone_number": "706-216-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 DAWSON COMMONS CIR STE 320",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305346268",
"telephone_number": "216-706-2771"
}
],
"practiceLocations": [
{
"address_1": "1200 Bald Ridge Marina Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300417542",
"country_code": "US",
"telephone_number": "216-706-2771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEFANIC",
"first_name": "LAURA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "DNP, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-23",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9320010",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "336366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y08FG",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003555500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.