Deborah Carol Stively, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN119496 Issued in GA

Practice address

228 Memorial Dr
Jesup, GA 31545-0102

Phone

(912) 530-6582

NPI assigned

Jul 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1508112749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 EDMONDSON RD",
            "city": "SCREVEN",
            "state": "GA",
            "postal_code": "315607304",
            "telephone_number": "912-294-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MEMORIAL DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450102",
            "telephone_number": "912-530-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVELY",
        "first_name": "DEBORAH",
        "middle_name": "CAROL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN119496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley D. Jones, M.D.P.C.
• Stephen P Smith, M. D., P. C.
• Gary R Stern, MD
• Holli Joy Stevens, P.T,, D.P.T.
• Michelle Bianca Stevens
• Surgery Center of Bji, LLC
• Joanie Swanson, CCC-SLP
• Kathleen Deal Tatum, LCSW
• William Ralph Taylor III
• The Howard Center for Social Cognition and Communication

• Adult Health Nurse Practitioner in Jesup, GA
• Providers in Jesup, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.