Active NPI
Lindsay Patricia Stephenson, MD
- Pediatric Orthopaedic Surgery Physician
- Hiram, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 92240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92240 | GA | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | 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
- 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.
-
- Rehabilitation Clinic/Center
- Woodbury, MN
- NPI 1285250977
-
- Pediatric Surgery Physician
- Galveston, TX
- NPI 1851631709
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033607288
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.