Matthew Stenzel, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

258854 Issued in GA

Practice address

1780 Peachtree Pkwy Ste 302
Cumming, GA 30041-6834

Phone

(770) 772-1830

NPI assigned

Mar 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1821799040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SPRINGROCK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432172",
            "telephone_number": "404-558-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 PEACHTREE PKWY STE 302",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416834",
            "telephone_number": "770-772-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENZEL",
        "first_name": "MATTHEW",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "258854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stat Wellness Cumming, LLC
• Clyde G Steed Jr., DDS
• Mike Stein
• Ronald Steis, MD
• Andrea O'Neal Stell, BCBA
• James Ronald Stephens, M.D.
• Tiffany Nicole Stephens, M.ED, CCC-SLP
• Stepping Stone Counseling & Wellness Education, LLC
• Sterling Sports Medicine & Physical Therapy, LLC
• Krystal Sterling, PT, DPT

• Family Nurse Practitioner in Cumming, GA
• Providers in Cumming, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.