Active NPI
Ella Michelle Stephenson, RN
- Administrator Registered Nurse
- Conyers, GA
National Provider Identifier
1346734217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN200419
- Practice address
- 1315 Milstead Rd NE Ste 101
Conyers, GA 30012-3824 - Phone
- (470) 545-0860
- Fax
- (470) 300-7778
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN200419 | GA | |
| Case Management Registered Nurse | 163WC0400X | RN200419 | GA | |
| Home Health Registered Nurse | 163WH0200X | RN400219 | GA | |
| Infusion Therapy Registered Nurse | 163WI0500X | RN200419 | GA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN200419 | GA | |
| Administrator Registered Nurse | 163WA2000X | RN200419 | GA | Primary |
Addresses
Primary practice location
1315 Milstead Rd NE Ste 101
Conyers, GA 30012-3824
Mailing address
1315 Milstead Rd NE Ste 101
Conyers, GA 30012-3824
Phone (470) 217-8445
Other names 1
- Ella Weaver
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN400219 | GA | MD | Home Health Registered Nurse |
| RN200419 | GA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754092800000",
"number": "1346734217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 MILSTEAD RD NE STE 101",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123824",
"telephone_number": "470-217-8445",
"fax_number": "470-545-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 MILSTEAD RD NE STE 101",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123824",
"telephone_number": "470-545-0860",
"fax_number": "470-300-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "ELLA",
"middle_name": "MICHELLE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2025-08-02",
"certification_date": "2025-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "RN200419",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "GA",
"license": "RN200419",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN400219",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "GA",
"license": "RN200419",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN200419",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "GA",
"license": "RN200419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLA",
"last_name": "WEAVER",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.