Active NPI
Lanissa Rae Stinehelfer, FNP-BC
- Family Nurse Practitioner
- Social Circle, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN130632
- Practice address
- 761 N Cherokee Rd
Social Circle, GA 30025-4019 - Phone
- (770) 464-4434
- NPI assigned
- Sep 1, 2011
- Last updated
- Apr 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 | RN130632 | GA | Primary |
Addresses
Primary practice location
761 N Cherokee Rd
Social Circle, GA 30025-4019
Mailing address
3850 Mount Carmel Church Rd
Monroe, GA 30655-5343
Phone (706) 621-3103
Other names 1
- Lanissa Rae Summerour
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
- Group practices
Practice addresses (Care Compare)
1360 Caduceus Way
Suite 103
Watkinsville, GA 30677-7300
Phone (877) 448-3627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN130632 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Our Family Health Center | Past | Accepting new patients | |
| Tri-County Clinic, Inc. | Past | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Past | Accepting new patients |
Locations
11800 Northfall Ln
Ste 1406
Alpharetta, GA 30009
Phone (678) 413-1360
1360 Caduceus Way
Ste 103
Watkinsville, GA 30677
Phone (706) 548-7373
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFIGAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Midc, LLC
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
GA
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Family Medicine Physician
- Monroe, GA
- NPI 1184879843
-
- Family Medicine Physician
- Social Circle, GA
- NPI 1801093497
-
- Infectious Disease Physician
- Plymouth, MI
- NPI 1841530250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1841571957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 MOUNT CARMEL CHURCH RD",
"city": "MONROE",
"state": "GA",
"postal_code": "306555343",
"telephone_number": "706-621-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 N CHEROKEE RD",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300254019",
"telephone_number": "770-464-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINEHELFER",
"first_name": "LANISSA",
"middle_name": "RAE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN130632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LANISSA",
"last_name": "SUMMEROUR",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Social Circle, GA
- Social Circle Cypress LLC (Social Circle Nursing and Rehabilitation Center)
- Social Circle Pharmacy and Supplies Inc.
- Social Circle Pharmacy and Supplies Inc.
- Kaylin Garner Spell, NP
- Dajah Stephens
- Nicholas Ryan Tedrow, MD
- Tri-County Clinic, Inc.
- Triple a Non Emergency Transportation LLC
- Laura Lee Wahl, OTR
- Marilyn Elaine Sims Whitening, APRN-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.