Stephanie Lynn Vick, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN209399 Issued in GA

Practice address

1718 Old Reynolds St
Waycross, GA 31501-1036

Phone

(912) 283-5260

NPI assigned

Jan 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peter Wrobel MD PC

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1063654929
  NPD (past)

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1255194494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 DAN DURAN RD",
            "city": "NICHOLLS",
            "state": "GA",
            "postal_code": "315545837",
            "telephone_number": "912-327-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 OLD REYNOLDS ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315011036",
            "telephone_number": "912-283-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 E Jarman St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396173",
            "country_code": "US",
            "telephone_number": "912-209-0239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICK",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celestine Varnedoe, DMD
• Azarias Cedrion Vasser, DDS
• Dillon Todd Veal, PA-C
• Meredith Gaines Veal, PA-C
• Eduardo Jose Venegas, M.D.
• Jose Ramon Villamil, M.D.
• Elizabeth Viruet, DMD
• Vita Bridge LLC
• Volunteers of America of Georgia
• Jason Ted Wade, PHARMD

• Family Nurse Practitioner in Waycross, GA
• Providers in Waycross, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.