Active NPI
Elizabeth Ann Stargell, NP-C
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN160119
- Practice address
- 1365 Clifton Rd NE
Office A4330
Atlanta, GA 30322-1013 - Phone
- (404) 778-6382
- Fax
- (404) 778-5495
- NPI assigned
- Aug 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | RN160119 | GA | Primary |
Addresses
Primary practice location
1365 Clifton Rd NE
Office A4330
Atlanta, GA 30322-1013
Mailing address
127 Martin Luther King Jr CT
Lagrange, GA 30241-3657
Phone (706) 594-2955
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 McWilliams Dr
Peachtree City, GA 30269-6948
Phone (770) 702-1864
101 McWilliams Dr
Peachtree City, GA 30269-6948
Phone (770) 487-7619
101 Yorktown Dr
Fayetteville, GA 30214-1578
108 N Park Dr
Fayetteville, GA 30214-1645
Phone (770) 487-7807
190 Greencastle Rd
Tyrone, GA 30290-2936
Phone (770) 487-7807
710 Newnan Crossing Bypass
Suite 200
Newnan, GA 30263-2384
Phone (770) 487-7807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Lotus Group LLC | Family | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Ofc A4330
Atlanta, GA 30322
Phone (404) 778-6382
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1605 Vernon Rd
Ste 1600
Lagrange, GA 30240
Phone (706) 407-1624
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
2579 Highway 54
Peachtree Cty, GA 30269
Phone (770) 487-2645
62742 Collections Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
dba ReNew Infusion & Wellness
- Infusion Therapy Clinic/Center
- Lagrange, GA
- NPI 1831874395
Family
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1821379033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 MARTIN LUTHER KING JR CT",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302413657",
"telephone_number": "706-594-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE",
"address_2": "OFFICE A4330",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-6382",
"fax_number": "404-778-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARGELL",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN160119",
"primary": true
}
],
"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 28, 2011; 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.