Individual provider Active NPI

Stephen T Small, N.P.

  • Family Nurse Practitioner
  • Toccoa, GA
National Provider Identifier
1508070897
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN114168 Issued in GA
Practice address
163 Hospital Dr
Toccoa, GA 30577-6820
Phone
(706) 282-4200
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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 RN114168 GA Primary

Addresses

Primary practice location

163 Hospital Dr
Toccoa, GA 30577-6820

Mailing address

163 Hospital Dr
Toccoa, GA 30577-6820
Phone (706) 282-4200

Other practice location 1

15575 Wells Highway
Seneca, SC 29678-1664
Phone (864) 886-2000

Other practice location 2

218 Falls Rd
Toccoa, GA 30577-1631
Phone (706) 282-5840

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
I20070716000303 GA Practitioner - Nurse Practitioner 5395845630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

218 Falls Rd
Toccoa, GA 30577-1631
Phone (706) 282-5840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN114168GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens County Hospital Physician Group LLC CurrentSince Apr 1, 2020 Accepting new patients
Stephens County Hospital Physician Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Sound Physicians Emergency Medicine of Georgia PC CurrentSince Sep 3, 2017 Accepting new patients
Upstate Medical Associates PA Family PastSince Jul 1, 2013 Accepting new patients
Orthopedic Surgery Center of Northeast Georgia Past Accepting new patients
Northeast Georgia Institute of Bone & Joint Surgery Past Accepting new patients
Stephens County Hospital Physician Group, LLC Past Accepting new patients

Locations

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

218 Falls Rd
Toccoa, GA 30577
Phone (706) 282-5840

115 Rock Quarry Rd
Toccoa, GA 30577
Phone (706) 282-5815

Interoperability endpoints

  • Direct secure messaging: stephen.small.1@14936.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19939/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1508070897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HOSPITAL DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776820",
            "telephone_number": "706-282-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HOSPITAL DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776820",
            "telephone_number": "706-282-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15575 Wells Highway",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781664",
            "country_code": "US",
            "telephone_number": "864-886-2000",
            "fax_number": "864-888-3618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Falls Rd",
            "address_purpose": "LOCATION",
            "city": "Toccoa",
            "state": "GA",
            "postal_code": "305771631",
            "country_code": "US",
            "telephone_number": "706-282-5840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN114168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

Verify at the official NPI Registry.