Individual provider Active NPI

Stephanie Hickerson-Jones, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1275946402
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-116758 Issued in AL
Practice address
2123 Executive Park Dr
Opelika, AL 36801-6041
Phone
(334) 275-9595
Fax
(706) 223-1934
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-116758 AL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN241773 GA

Addresses

Primary practice location

2123 Executive Park Dr
Opelika, AL 36801-6041

Mailing address

2123 Executive Park Dr
Opelika, AL 36801-6041
Phone (334) 275-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150108002281 AL Practitioner - Nurse Practitioner 3779806252 Reassigns benefits to 1 organization
I20170501001673 GA Practitioner - Nurse Practitioner 3779806252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rivertown Psychiatry PCGroup PAC ID 1153575410, 27 clinicians

Practice addresses (Care Compare)

2123 Executive Park Dr
Opelika, AL 36801-6041
Phone (334) 275-9595

5700 Veterans Pkwy
Columbus, GA 31904-9093
Phone (706) 221-3222

6003 Veterans Pkwy
Suite 100
Columbus, GA 31909-6284
Phone (706) 223-1933

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN241773GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Psychiatry, PC CurrentSince Mar 1, 2017 Accepting new patients
Wiregrass Wellness Center, LLC PastSince Feb 1, 2019 Accepting new patients

Locations

2123 Executive Park Dr
Opelika, AL 36801
Phone (334) 275-9595

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

5700 Veterans Pkwy
Columbus, GA 31904
Phone (706) 221-3222

705 17th St
Ste 410
Columbus, GA 31901
Phone (706) 223-1933

1520 22nd St
Columbus, GA 31901
Phone (706) 223-1933

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1275946402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 EXECUTIVE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016041",
            "telephone_number": "334-275-9595",
            "fax_number": "706-223-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 EXECUTIVE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016041",
            "telephone_number": "334-275-9595",
            "fax_number": "706-223-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON-JONES",
        "first_name": "STEPHANIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-116758",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN241773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.