Stephanie Monica Vandellen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN188240 Issued in GA

Practice address

5885 Glenridge Dr Ste 200
Atlanta, GA 30328-5573

Phone

(404) 454-9715

Fax

(404) 393-3739

NPI assigned

Aug 2, 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

Other names 1

• Stephanie Monica Klug Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health Choice Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Buford, GA
  • NPI 1679948988
  Medicare reassignment NPD
• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment
• Health Choice Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Sugar Hill, GA
  • NPI 1760857072
  NPD
• Breastfeed Atlanta, LLC

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1558722215
  NPD (past)

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1578819074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285573",
            "telephone_number": "404-454-9715",
            "fax_number": "404-393-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285573",
            "telephone_number": "404-454-9715",
            "fax_number": "404-393-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDELLEN",
        "first_name": "STEPHANIE",
        "middle_name": "MONICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN188240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KLUG",
            "middle_name": "MONICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Vance, CCC-SLP
• Christina Renee Vance, OT
• Courtney Elaine Vance, MD
• Thomas Anthony Vance Jr., PHD
• Hope Elizabeth Vancleve, DO
• Blake Andrew Vander Wood, MD
• Holly Vanderbilt
• Jayne Lynn Vandergrinten, R.N.,L.P.C.
• Lindsay Vanderhoogt
• Karla Cristina Vanderley

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.