Individual provider Active NPI

Stephanie Stille Heleski, NP-C

  • Family Nurse Practitioner
  • Preston, GA
National Provider Identifier
1417501750
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN206403 Issued in GA
Practice address
6381 Hamilton St
Preston, GA 31824-4029
Phone
(229) 828-2118
Fax
(229) 828-2114
NPI assigned
Jul 25, 2019
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN206403 GA Primary

Addresses

Primary practice location

6381 Hamilton St
Preston, GA 31824-4029

Mailing address

6381 Hamilton St
Preston, GA 31824-4029
Phone (229) 828-2118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008000652 GA Practitioner - Nurse Practitioner 7315278223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Preston Family Medicine IncGroup PAC ID 8820342355, 2 clinicians

Practice addresses (Care Compare)

6381 Hamilton St
Preston, GA 31824-4029
Phone (229) 828-2118

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN206403GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Family Medicine Inc Single Specialty CurrentSince Nov 18, 2020 Accepting new patients

Locations

6381 Hamilton St
Preston, GA 31824
Phone (229) 828-2118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23051/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.heleski.1@23051.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1417501750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 HAMILTON ST",
            "city": "PRESTON",
            "state": "GA",
            "postal_code": "318244029",
            "telephone_number": "229-828-2118",
            "fax_number": "229-828-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6381 HAMILTON ST",
            "city": "PRESTON",
            "state": "GA",
            "postal_code": "318244029",
            "telephone_number": "229-828-2118",
            "fax_number": "229-828-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELESKI",
        "first_name": "STEPHANIE",
        "middle_name": "STILLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN206403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Preston, GA

Sources for this page

Verify at the official NPI Registry.