Sandi Jacquelyn Stephens

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

004092 Issued in GA

Practice address

431 W Ponce de Leon Ave
Suite 7
Decatur, GA 30030-2458

Phone

(404) 964-1072

NPI assigned

Mar 5, 2008

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)

Not enrolled

State licenses

Practice roles

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.

• Sandi J. Stephens Inc.

  • Clinic/Center
  • Decatur, GA
  • NPI 1366612491
  NPD (past) Authorized official

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1639349764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 KELLS RIDGE DR",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305402353",
            "telephone_number": "404-964-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W PONCE DE LEON AVE",
            "address_2": "SUITE 7",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302458",
            "telephone_number": "404-964-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SANDI",
        "middle_name": "JACQUELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "GA",
            "license": "004092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Step Forward Counseling, LLC
• Step Up on Second Street, Inc
• Jhaiana Stephens-Tarpley, CNA
• Janee Stephens
• Paula K. Stephens, CRNA
• Wayne Stephens
• Anna Leigh Stephenson, LCSW
• Daniel Steppe, MSW
• Stepping Stones to Success, LLC
• Sterling Exceptional Learning Resources

• Neuromusculoskeletal Medicine & OMM Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.