Active NPI
Angela Anglin Stevens, FNP-C
- Family Nurse Practitioner
- Americus, GA
National Provider Identifier
1316459795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN178815
- Practice address
- 103 Ga Highway 27 E
Americus, GA 31709-3800 - Phone
- (229) 924-8082
- Fax
- (229) 924-8009
- NPI assigned
- Oct 25, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN178815 | GA | Primary |
Addresses
Primary practice location
103 Ga Highway 27 E
Americus, GA 31709-3800
Mailing address
103 Ga Highway 27 E
Americus, GA 31709-3800
Phone (229) 924-8082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003200212A | Medicaid | GA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN178815 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Pediatrics PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Albany, GA
- NPI 1578794640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1316459795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GA HIGHWAY 27 E",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093800",
"telephone_number": "229-924-8082",
"fax_number": "229-924-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GA HIGHWAY 27 E",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093800",
"telephone_number": "229-924-8082",
"fax_number": "229-924-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "ANGELA",
"middle_name": "ANGLIN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN178815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003200212A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.