Individual provider Active NPI

Kathryn Germain Stanton, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1801587225
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
240357 Issued in GA
Practice address
3333 Old Milton Pkwy Ste 160
Alpharetta, GA 30005-0008
Phone
(678) 335-6020
NPI assigned
May 17, 2023
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 240357 GA Primary
Registered Nurse 163W00000X 240357 GA

Addresses

Primary practice location

3333 Old Milton Pkwy Ste 160
Alpharetta, GA 30005-0008

Mailing address

2060 Lancaster SQ
Roswell, GA 30076-6326
Phone (404) 919-1969

Other names 1

  • Kathryn Cozonac Former name

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
I20250618000040 GA Practitioner - Nurse Practitioner 5698286417 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240357GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Professionals of Georgia, LLC CurrentSince May 11, 2025 Accepting new patients
Integrated Psychiatric Services PC PastSince May 21, 2023 Accepting new patients

Locations

286 S Main St
Ste 100
Alpharetta, GA 30009
Phone (248) 660-0487

286 S Main St
Ste 100200
Alpharetta, GA 30009
Phone (678) 748-3734

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

Interoperability endpoints

  • Direct secure messaging: kathryn.stanton.1@25899.direct.athenahealth.com

Organizations & group practices 2

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1801587225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LANCASTER SQ",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766326",
            "telephone_number": "404-919-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 OLD MILTON PKWY STE 160",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300050008",
            "telephone_number": "678-335-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "KATHRYN",
        "middle_name": "GERMAIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "240357",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "240357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "COZONAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.