Individual provider Active NPI

Stephanie Mann, FNP-C

  • Family Nurse Practitioner
  • North Augusta, SC
National Provider Identifier
1396630463
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30379 Issued in SC
Practice address
105 E Hugh St
North Augusta, SC 29841-2925
Phone
(803) 279-6800
NPI assigned
Jun 10, 2025
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN327610 GA
Family Nurse Practitioner 363LF0000X 30379 SC Primary

Addresses

Primary practice location

105 E Hugh St
North Augusta, SC 29841-2925

Mailing address

3562 Hilltop TRL
Evans, GA 30809-0987
Phone (701) 891-9413

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.mann.1@26418.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250718001851 GA Practitioner - Nurse Practitioner 5890201750 Reassigns benefits to 1 organization
I20250729003035 SC Practitioner - Family Practice 5890201750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Practice addresses (Care Compare)

105 E Hugh St
North Augusta, SC 29841-2925
Phone 7066507799284

1701 Magnolia Way
Suite 101
Augusta, GA 30909-9483
Phone (706) 922-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30379SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Primary Care PC CurrentSince Jul 1, 2025 Accepting new patients
CPC Rinehart Dispensary PastSince Jul 1, 2025 Accepting new patients

Locations

1701 Magnolia Way
Ste 101
Augusta, GA 30909
Phone (706) 922-6600

363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563

131 Rinehart Way
Aiken, SC 29803
Phone (803) 335-2200

105 E Hugh St
North Augusta, SC 29841
Phone (706) 650-7799

Interoperability endpoints

  • Direct secure messaging: stephanie.mann.1@26418.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1396630463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 HILLTOP TRL",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090987",
            "telephone_number": "701-891-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E HUGH ST",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412925",
            "telephone_number": "803-279-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "STEPHANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN327610",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.mann.1@26418.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 E Hugh St",
            "city": "North Augusta",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298412925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

Verify at the official NPI Registry.