Individual provider Active NPI

Stacey Tsitsilianos, FNP-C, ENP-C

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1437898434
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP297792 Issued in GA
Practice address
101 Regency Park Dr Ste 110
McDonough, GA 30253-7076
Phone
(404) 996-0126
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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 APRN-NP297792 GA Primary

Addresses

Primary practice location

101 Regency Park Dr Ste 110
McDonough, GA 30253-7076

Mailing address

101 Regency Park Dr Ste 110
McDonough, GA 30253-7076
Phone (404) 996-0126

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
I20241230002245 GA Practitioner - Nurse Practitioner 9739616913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

2520 N Decatur Rd
Decatur, GA 30033-6117
Phone (678) 685-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP297792GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Oct 11, 2024 Accepting new patients
Shree Yamuna Maharaniji,PC CurrentSince Jun 1, 2022 Accepting new patients
Wellstreet of Georgia PC CurrentSince Oct 11, 2024 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

2615 E West Connector
Austell, GA 30106
Phone (678) 653-1007

2615 E West Connector
Ste 106
Austell, GA 30106
Phone (770) 941-0010

2520 N Decatur Rd
Decatur, GA 30033
Phone (678) 685-8100

101 Regency Park Dr
Ste 110
McDonough, GA 30253
Phone (404) 996-0123

1825 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 502-2121

Interoperability endpoints

  • Direct secure messaging: stacey.tsitsilianos@059.emedpractice.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1437898434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REGENCY PARK DR STE 110",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537076",
            "telephone_number": "404-996-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REGENCY PARK DR STE 110",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537076",
            "telephone_number": "404-996-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSITSILIANOS",
        "first_name": "STACEY",
        "credential": "FNP-C, ENP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP297792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.