Active NPI
Stephanie Anne Northington, PH.D.
- Psychologist
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 003548
- Practice address
- 1265 Interstate Pkwy
Augusta, GA 30909-6481 - Phone
- (706) 849-3386
- NPI assigned
- Sep 8, 2011
- Last updated
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12273 | ||
| Psychologist | 103T00000X | 003548 | GA | Primary |
Addresses
Primary practice location
1265 Interstate Pkwy
Augusta, GA 30909-6481
Mailing address
3633 Wheeler Rd Ste 320
Augusta, GA 30909-6552
Phone (706) 842-3279
Other practice location 1
3633 Wheeler Rd Ste 320
Augusta, GA 30909-6552
Phone (706) 842-3279
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003548 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Psychology Solutions LLC | Psychologist | Current | Accepting new patients |
| Neighborhood Improvement Project, Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Mindful Mentality, LLC | Behavior Analyst | Current | Accepting new patients |
| New Mercy Behavioral Health LLC | Past | Accepting new patients |
Locations
1265 Interstate Pkwy
Augusta, GA 30909
Phone (706) 204-1366
1265 Interstate Pkwy
#B
Augusta, GA 30909
Phone (706) 204-1366
2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682
3633 Wheeler Rd
Ste 320
Augusta, GA 30909
Phone (706) 691-4729
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1457632150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 WHEELER RD STE 320",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096552",
"telephone_number": "706-842-3279",
"fax_number": "706-842-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 INTERSTATE PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096481",
"telephone_number": "706-849-3386"
}
],
"practiceLocations": [
{
"address_1": "3633 Wheeler Rd Ste 320",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309096552",
"country_code": "US",
"telephone_number": "706-842-3279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTHINGTON",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "12273",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "003548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.