Individual provider Active NPI

Lindsay Patricia Stephenson, MD

  • Pediatric Orthopaedic Surgery Physician
  • Hiram, GA
National Provider Identifier
1487919643
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
92240 Issued in GA
Practice address
148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756
Phone
(404) 321-9900
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X P5239 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X P5239 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X 92240 GA Primary

Addresses

Primary practice location

148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756

Mailing address

148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141-3756
Phone (404) 321-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 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
I20141020000609 TX Practitioner - Orthopedic Surgery 8022239987 Reassigns benefits to 1 organization
I20220711003717 MN Practitioner - Orthopedic Surgery 8022239987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
92240GAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Apr 1, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 18, 2014 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 18, 2014 Accepting new patients

Locations

4550 Cobb Parkway North NW
Ste 309G
Acworth, GA 30101
Phone (678) 213-5717

6095 Professional Pkwy
Ste B200
Douglasville, GA 30134
Phone (404) 321-9900

148 Bill Carruth Pkwy
Ste 120
Hiram, GA 30141
Phone (770) 443-7136

215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

6977 Main St
Houston, TX 77030
Phone (713) 793-3700

Interoperability endpoints

  • Direct secure messaging: lstephenson491263@directwellstar.org

Organizations & group practices 5

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1487919643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 BILL CARRUTH PKWY STE 120",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413756",
            "telephone_number": "404-321-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 BILL CARRUTH PKWY STE 120",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413756",
            "telephone_number": "404-321-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "LINDSAY",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P5239",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "P5239",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "GA",
            "license": "92240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

Verify at the official NPI Registry.