Sandi J. Stephens Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

004092 Issued in GA

Legal business name

SANDI J. STEPHENS INC.

Doing business as

Therapeutic Edge

Practice address

431 W Ponce de Leon Ave
Suite 7
Decatur, GA 30030-2458

Phone

(404) 964-1072

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Sandi Jacquelyn StephensNPI 1639349764

Title

President

Phone

(404) 964-1072

Specialties & licenses 1

Addresses

Other names 1

• Therapeutic Edge Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandi Jacquelyn Stephens

  • Neuromusculoskeletal Medicine & OMM Physician
  • Decatur, GA
  • NPI 1639349764
  NPD (past) Authorized official

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1366612491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORWOOD AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171248",
            "telephone_number": "404-964-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W PONCE DE LEON AVE",
            "address_2": "SUITE 7",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302458",
            "telephone_number": "404-964-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDI J. STEPHENS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SANDI",
        "authorized_official_middle_name": "JACQUELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-964-1072"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "004092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Edge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Belinda Zoe Sanders, MASTER COSMETOLOGIST
• Ciara Sanders, OTR/L
• Kenard Sanders, PHD, LPC
• Ronald Gene Sanders II, RONALD SANDERS
• Roy Quincy Sanders, MD
• Emiliana Sandiego, M.D.
• Kathryn Hunter Sandifer, LPC
• Sandy Chiropractic PC
• Loretta Frances Sandy, DC
• Sanford S Hartman, MD PC

• Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.