Individual provider Active NPI

Lara Stephens, APRN, WHNP-BC

  • Perinatal Nurse Practitioner
  • Austell, GA
National Provider Identifier
1295141307
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Nurse PractitionerTaxonomy code 363LP1700X
License
RN177122 Issued in GA
Practice address
1700 Hospital South Dr Ste 301
Austell, GA 30106-8116
Phone
(770) 819-9211
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN177122 GA
Perinatal Nurse Practitioner 363LP1700X RN177122 GA Primary

Addresses

Primary practice location

1700 Hospital South Dr Ste 301
Austell, GA 30106-8116

Mailing address

1700 Hospital South Dr Ste 301
Austell, GA 30106-8116

Other practice location 1

3405 Dallas Hwy SW Ste 505
Marietta, GA 30064-6427
Phone (770) 514-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN177122GAMDPerinatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Atlanta, LLC CurrentSince Dec 27, 2020 Accepting new patients
Atlanta Perinatal Associates PastSince Jul 22, 2017 Accepting new patients
Pagemed, LLC Past Accepting new patients
Pediatrix Medical Group of Georgia, P.C. Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1700 Hospital South Dr
Ste 301
Austell, GA 30106
Phone (770) 819-9211

6084 Professional Pkwy
Ste B
Douglasville, GA 30134
Phone (678) 838-4443

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

55 Whitcher St NE
Ste 430
Marietta, GA 30060
Phone (770) 819-9211

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

Interoperability endpoints

  • Direct secure messaging: lara.stephenspnnp.p64@direct.mednax.nextgenshare.com
  • Direct secure messaging: lara.stephenspnnp.p40@direct.mednax.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1295141307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR STE 301",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR STE 301",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068116",
            "telephone_number": "770-819-9211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Dallas Hwy SW Ste 505",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300646427",
            "country_code": "US",
            "telephone_number": "770-514-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LARA",
        "name_prefix": "Ms.",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "GA",
            "license": "RN177122",
            "primary": false
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "GA",
            "license": "RN177122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.