Individual provider Active NPI

Stephanie Farr Stagner, NP

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1235389446
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN134297 Issued in GA
Practice address
1800 Peachtree St
Suite 400
Atlanta, GA 30309
Phone
(678) 904-5413
NPI assigned
Sep 24, 2008
Last updated
Sep 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN134297 GA Primary

Addresses

Primary practice location

1800 Peachtree St
Suite 400
Atlanta, GA 30309

Mailing address

1800 Peachtree St
Suite 400
Atlanta, GA 30309
Phone (678) 904-5413

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325002355 GA Practitioner - Nurse Practitioner 1052749017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1800 Peachtree St NW
Suite 775
Atlanta, GA 30309-2519
Phone (678) 971-4167

3231 Hwy 34 E
Newnan, GA 30265-6407
Phone (678) 971-4167

3579 Hwy 138 SE
Suite 204
Stockbridge, GA 30281-6807
Phone (678) 971-4167

601 Broad St SE
Gainesville, GA 30501-3718
Phone (678) 971-4167

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
82.18
Improvement activities
40
Cost
78.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN134297GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain and Spine Associates LLC CurrentSince Jan 1, 2025 Accepting new patients
Southern Pain and Spine Associates, LLC CurrentSince Jan 1, 2025 Accepting new patients
Southern Pain and Spine Associates LLC PastSince May 16, 2022 Accepting new patients

Locations

1800 Peachtree St NW
Ste 750
Atlanta, GA 30309
Phone (404) 558-5249

1233 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone 6789714167160

1233 Highway 54 W
Ste 207
Fayetteville, GA 30214

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

3579 Highway 138 SE
Ste 204
Stockbridge, GA 30281
Phone (404) 996-9500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.stagner.1@22722.direct.athenahealth.com

Organizations & group practices 4

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1235389446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "678-904-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "678-904-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGNER",
        "first_name": "STEPHANIE",
        "middle_name": "FARR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN134297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.