Stephanie McIntosh Junior, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN233377 Issued in GA

Practice address

107 Wedgewood Dr
Carrollton, GA 30117-4335

Phone

(678) 390-7070

Fax

(678) 390-7071

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: stephanie.junior.1@22071.direct.athenahealth.com

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.

• 3:16 Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bremen, GA
  • NPI 1295695781
  NPD (past)

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1821630971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WATSON DR",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301101794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEDGEWOOD DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174335",
            "telephone_number": "678-390-7070",
            "fax_number": "678-390-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNIOR",
        "first_name": "STEPHANIE",
        "middle_name": "MCINTOSH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN233377",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN233377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861915647",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Harman Jones, P.T.
• Stephanie Jones, NP
• Leigh Hamm Jordan, PHARMD
• Melanie Jordan
• Joseph S. Palin, M.D.
• Stephen Housman Kahler, M.D.
• Tejal Ashok Kakade, D.M.D
• Kriss Anyiam Kalu
• Sanjeev Kapuria, MD
• Karee, Inc.

• Pediatric Nurse Practitioner in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.