Individual provider Active NPI

Laura Marie Stefanic, DNP, ARNP

  • Pediatric Nurse Practitioner
  • Dawsonville, GA
National Provider Identifier
1215220348
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
336366 Issued in GA
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

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Y08FGOtherFLBLUE CROSS BLUE SHIELD
003555500MedicaidFL

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

LicenseStateTypeSpecialty
336366GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Dawson Pediatrics,PC PastSince Sep 14, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lstefanic@dawson.pcc-direct.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.