Individual provider Active NPI

Elizabeth Ann Stargell, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1821379033
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN160119 Issued in GA
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

Updated by the provider on Sep 28, 2011

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000597 GA Practitioner - Nurse Practitioner 8820260128 Reassigns benefits to 4 organizations

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

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Nov 9, 2016 Accepting new patients
Lotus Group LLC Family CurrentSince Jul 1, 2023 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Nov 9, 2016 Accepting new patients
The Emory Clinic Inc CurrentSince Oct 1, 2011 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Dec 11, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.