Individual provider Active NPI

Larissa Gay Stewart, L.AC.

  • Acupuncturist
  • Columbus, GA
National Provider Identifier
1821493735
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
333 Issued in GA
Practice address
2008 Wynnton Rd
Columbus, GA 31906-2407
Phone
(762) 221-5403
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 333 GA Primary

Addresses

Primary practice location

2008 Wynnton Rd
Columbus, GA 31906-2407

Mailing address

2515 19TH Ave Apt a
Columbus, GA 31901-1374
Phone (229) 603-3332

Other practice location 1

2515 19th Ave
Columbus, GA 31901-1375
Phone (229) 603-3332

Other practice location 2

2734 Ledo Rd Ste 15
Albany, GA 31707-7628
Phone (229) 594-1546

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

LicenseStateTypeSpecialty
333GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1821493735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 19TH AVE APT A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011374",
            "telephone_number": "229-603-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 WYNNTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062407",
            "telephone_number": "762-221-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319011375",
            "country_code": "US",
            "telephone_number": "229-603-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2734 Ledo Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317077628",
            "country_code": "US",
            "telephone_number": "229-594-1546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LARISSA",
        "middle_name": "GAY",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.