Active NPI
Lance Stephens, PA-C
- Physician Assistant
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10373
- Practice address
- 1321A Interstate Pkwy
Augusta, GA 30909-5626 - Phone
- (706) 738-7246
- Fax
- (706) 738-7248
- NPI assigned
- May 5, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10373 | GA | Primary |
| Pain Medicine Physician | 208VP0000X | 10373 | GA |
Addresses
Primary practice location
1321A Interstate Pkwy
Augusta, GA 30909-5626
Mailing address
1321A Interstate Pkwy
Augusta, GA 30909-5626
Phone (910) 574-0573
Other practice location 1
1321A Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 922-9311
Other names 1
- Mr. Lance Stephens
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10373 | GA | MD | General Practice Dentistry |
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.
-
dba Augusta Pain Center
- Interventional Pain Medicine Physician
- Augusta, GA
- NPI 1609098292
-
dba Athletico Physical Therapy
- Physical Therapist
- Augusta, GA
- NPI 1679286934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1245522473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321A INTERSTATE PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309095626",
"telephone_number": "910-574-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321A INTERSTATE PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309095626",
"telephone_number": "706-738-7246",
"fax_number": "706-738-7248"
}
],
"practiceLocations": [
{
"address_1": "1321A Interstate Pkwy",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309095626",
"country_code": "US",
"telephone_number": "706-922-9311",
"fax_number": "706-738-7248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "LANCE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2024-05-13",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10373",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "10373",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LANCE",
"last_name": "STEPHENS",
"prefix": "MR.",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.