Active NPI
Lara Stephens, APRN, WHNP-BC
- Perinatal Nurse Practitioner
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perinatal Nurse Practitioner
- License
- RN177122
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN177122 | GA | MD | Perinatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Atlanta, LLC | Current | Accepting new patients | |
| Atlanta Perinatal Associates | Past | 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
- lara.stephenspnnp.p64@direct.mednax.nextgenshare.com
- 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.
-
- Maternal & Fetal Medicine Physician
- Atlanta, GA
- NPI 1396970109
-
- Maternal & Fetal Medicine Physician
- Atlanta, GA
- NPI 1104973064
-
- Maternal & Fetal Medicine Physician
- Macon, GA
- NPI 1619274180
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1295827574
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.