Michelle Bianca Stevens

Primary specialty

OpticianTaxonomy code 156FX1800X

License

002219 Issued in GA

Practice address

1100 N 1St St
Jesup, GA 31545-0046

Phone

(912) 530-8528

Fax

(912) 530-8091

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1427830405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 O.F. LANIER RD",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "31321",
            "telephone_number": "912-656-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450046",
            "telephone_number": "912-530-8528",
            "fax_number": "912-530-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHELLE",
        "middle_name": "BIANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "002219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Medicine and Rehabilitative Therapy
• Stanley D. Jones, M.D.P.C.
• Stephen P Smith, M. D., P. C.
• Gary R Stern, MD
• Holli Joy Stevens, P.T,, D.P.T.
• Deborah Carol Stively, APRN
• Surgery Center of Bji, LLC
• Joanie Swanson, CCC-SLP
• Kathleen Deal Tatum, LCSW
• William Ralph Taylor III

• Optician in Jesup, GA
• Providers in Jesup, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.