Individual provider Active NPI

Stephanie Baety Cason, MSN-RN, MBA, PCM-NI

  • Registered Nurse
  • Thomasville, GA
National Provider Identifier
1679234405
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN161678 Issued in GA
Practice address
551 Smith Ave Ste a
Thomasville, GA 31792-5657
Phone
(229) 236-2585
NPI assigned
Jan 4, 2022
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN161678 GA Primary

Addresses

Primary practice location

551 Smith Ave Ste a
Thomasville, GA 31792-5657

Mailing address

551 Smith Ave Ste a
Thomasville, GA 31792-5657
Phone (229) 236-2585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
RN161678GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sovereign and Grace Services CurrentSince Jan 17, 2022 Accepting new patients

Locations

551 Smith Ave
Ste A
Thomasville, GA 31792
Phone (229) 236-2585

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1679234405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 SMITH AVE STE A",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925657",
            "telephone_number": "229-236-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 SMITH AVE STE A",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925657",
            "telephone_number": "229-236-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASON",
        "first_name": "STEPHANIE",
        "middle_name": "BAETY",
        "name_prefix": "Ms.",
        "credential": "MSN-RN, MBA, PCM-NI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN161678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.