Individual provider Active NPI

Laura Jean Stinson, FNP-C

  • Family Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1801464995
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN244811 Issued in GA
Practice address
8901 Stonebridge Blvd Ste 100
Douglasville, GA 30134-2253
Phone
(943) 202-7100
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN244811 GA Primary

Addresses

Primary practice location

8901 Stonebridge Blvd Ste 100
Douglasville, GA 30134-2253

Mailing address

6946 Dogwood LN
Douglasville, GA 30135-5314
Phone (770) 598-7685

Other practice location 1

1480 S Highway 27
Carrollton, GA 30117-8901
Phone (770) 812-9445

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lstinson496532@directwellstar.org Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729000361 GA Practitioner - Nurse Practitioner 5991108813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

6043 Prestley Mill Rd
Douglasville, GA 30134-2280

6043 Prestley Mill Rd C
Douglasville, GA 30134-2280
Phone (770) 920-3076

662 Carrollton Villa Rica Hwy
Villa Rica, GA 30180-4969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN244811GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Immediate Care, Inc CurrentSince Aug 16, 2021 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445

8901 Stonebridge Blvd
Ste 100
Douglasville, GA 30134
Phone (404) 266-9876

6043 Prestley Mill Rd
Ste B
Douglasville, GA 30134
Phone (770) 941-8100

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

Interoperability endpoints

  • Direct secure messaging: lstinson496532@directwellstar.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1801464995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6946 DOGWOOD LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355314",
            "telephone_number": "770-598-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 STONEBRIDGE BLVD STE 100",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342253",
            "telephone_number": "943-202-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 S Highway 27",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301178901",
            "country_code": "US",
            "telephone_number": "770-812-9445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINSON",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN244811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstinson496532@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8901 Stonebridge Blvd Ste 100",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301342253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.