Active NPI
Tammy Ann Stewart, PA-C
- Physician Assistant
- Carrollton, GA
National Provider Identifier
1356322424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003883
- Practice address
- 148 Clinic Ave
Carrollton, GA 30117-4414 - Phone
- (770) 838-8640
- Fax
- (770) 838-8650
- NPI assigned
- Nov 7, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003883 | GA | Primary |
Addresses
Primary practice location
148 Clinic Ave
Carrollton, GA 30117-4414
Mailing address
148 Clinic Ave
Carrollton, GA 30117-4414
Phone (770) 838-8640
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003883 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama Health Services Foundation | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356322424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 CLINIC AVE",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174414",
"telephone_number": "770-838-8640",
"fax_number": "770-838-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 CLINIC AVE",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174414",
"telephone_number": "770-838-8640",
"fax_number": "770-838-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "TAMMY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.