Active NPI
Stephanie McNamara Hines, ATC, OTC
- Surgical Technologist
- Atlanta, GA
National Provider Identifier
1699875393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 07-0802
- Practice address
- 2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476 - Phone
- (404) 425-1165
- Fax
- (404) 425-1063
- NPI assigned
- Sep 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 07-0802 | GA | Primary |
| Athletic Trainer | 2255A2300X | AT001430 | GA |
Addresses
Primary practice location
2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476
Mailing address
3552 Chattahoochee Summit LN SE
Atlanta, GA 30339-3290
Phone (404) 558-4485
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001430 | GA | MD | Athletic Trainer |
| 07-0802 | GA | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrollton Orthopaedic Clinic PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rheumatology Physician
- Carrollton, GA
- NPI 1356483747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284163200000",
"number": "1699875393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3552 CHATTAHOOCHEE SUMMIT LN SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393290",
"telephone_number": "404-558-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 PEACHTREE RD NE",
"address_2": "SUITE 705",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091476",
"telephone_number": "404-425-1165",
"fax_number": "404-425-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "STEPHANIE",
"middle_name": "MCNAMARA",
"credential": "ATC, OTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2010-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "GA",
"license": "07-0802",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.