Active NPI
Debra Ann Stover, NP-C
- Family Nurse Practitioner
- Lithonia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN181848
- Practice address
- 1350 Swift Creek CT
Lithonia, GA 30058-3005 - Phone
- (678) 428-4070
- NPI assigned
- Mar 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN181848 | GA | Primary |
Addresses
Primary practice location
1350 Swift Creek CT
Lithonia, GA 30058-3005
Mailing address
1350 Swift Creek CT
Lithonia, GA 30058-6054
Phone (678) 428-4070
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200229000199 | GA | Practitioner - Nurse Practitioner | 9133556269 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11301 W Olympic Blvd
Suite 121 PMB 662
Los Angeles, CA 90064-1615
1350 Swift Creek CT
Lithonia, GA 30058-3005
2620 Elm Hill Pike
Nashville, TN 37214-3108
275 Carpenter Dr
Suite 310
Atlanta, GA 30328-4909
6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rmi Healthcare LLC | Current | Accepting new patients | |
| TLC of Georgia LLC | Family | Current | Accepting new patients |
| Centerwell Senior Primary Care Ga PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care Ga PC | Current | Accepting new patients |
Locations
800 Glenwood Ave SE
Atlanta, GA 30316
Phone (470) 447-5031
455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776
3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170
1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380
6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360
2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211
Interoperability endpoints
- debra.stover.1@29601.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Clinic/Center
- Lithonia, GA
- NPI 1730950726
-
- Internal Medicine Physician
- Woodstock, GA
- NPI 1689491680
-
- Internal Medicine Physician
- South Fulton, GA
- NPI 1801463468
-
- Family Nurse Practitioner
- Jefferson, GA
- NPI 1750677241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1679076525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 SWIFT CREEK CT",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300586054",
"telephone_number": "678-428-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SWIFT CREEK CT",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300583005",
"telephone_number": "678-428-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "DEBRA",
"middle_name": "ANN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN181848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.