Individual provider Active NPI

Stella A. Debrah-Siriboe, M.D.

  • Pediatrics Physician
  • Culpeper, VA
National Provider Identifier
1225027618
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101051031 Issued in VA
Practice address
633 Sunset LN
Suite a & C
Culpeper, VA 22701-3942
Phone
(540) 825-1191
Fax
(540) 825-0587
NPI assigned
Oct 18, 2005
Last updated
Mar 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 52163 GA
Pediatrics Physician 208000000X 0101051031 VA Primary

Addresses

Primary practice location

633 Sunset LN
Suite a & C
Culpeper, VA 22701-3942

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other identifiers 1

IdentifierTypeStateIssuer
000978623DMedicaidGA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707001731 GA Practitioner - Pediatric Medicine 0840438032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52163GAMDPediatrics Physician
0101051031VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Center for Pediatric & Adolescent Health, LLC CurrentSince Jun 16, 2020 Accepting new patients
Zoe Pediatric After Hours Care, Inc Pediatrics PastSince Oct 15, 2023 Accepting new patients

Locations

229 Highway 41 N
Ste A
Barnesville, GA 30204

229 Highway 41 N
Ste D
Barnesville, GA 30204

1110 13th St
Columbus, GA 31901
Phone (706) 494-8900

1110 13th St
Bldg A
Columbus, GA 31901

1110 13th St
Bldg B
Columbus, GA 31901

3031 Williams Rd
Columbus, GA 31909
Phone (706) 221-7139

959 17th St
Ste B
Columbus, GA 31901
Phone (706) 507-9127

210 Hannahs Mill Rd
Thomaston, GA 30286
Phone (706) 646-4543

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCHBA
  • Direct secure messaging: stella.siriboe@zoep.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1225027618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SUNSET LN",
            "address_2": "SUITE A & C",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013942",
            "telephone_number": "540-825-1191",
            "fax_number": "540-825-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRAH-SIRIBOE",
        "first_name": "STELLA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "52163",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101051031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000978623D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.