Individual provider Active NPI

Cynthia Stephenson, D.O.

  • Emergency Medicine Physician
  • Fort Stewart, GA
National Provider Identifier
1861419467
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58335 Issued in GA
Practice address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone
(571) 802-0360
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58335 GA Primary
Pediatrics Physician 208000000X 58335 GA

Addresses

Primary practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Mailing address

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (571) 802-0360

Other practice location 1

511 Bellevue Ave
Box 1347
Dublin, GA 31021-5331
Phone (404) 218-5074

Other identifiers 4

IdentifierTypeStateIssuer
010220017MedicaidVA
010111676MedicaidVA
010111731MedicaidVA
010113784MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070411000074 GA Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 2769377498 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Rowan University School of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Emergency Group, PCGroup PAC ID 2961829072, 8 clinicians

Practice addresses (Care Compare)

1740 Lions Club Rd
Madison, GA 30650-4762
Phone (706) 342-1667

Merit-based Incentive Payment System (MIPS)

Final score
94.56 of 100Reported as group
Quality
82.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58335GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Emergency Group, PC Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jul 31, 2019 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince May 25, 2011 Accepting new patients
Baldwin Emergency Group, LLC Emergency Medicine CurrentSince Sep 4, 2018 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jan 10, 2015 Accepting new patients
Peach Emergency Group LLC Emergency Medicine CurrentSince Jun 23, 2012 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jan 10, 2015 Accepting new patients
Central Georgia Emergency Group, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Southeastern Hospitalist Physicians, LLP Emergency Medicine Past Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine PastSince May 10, 2020 Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Columbia Healthcare of Central Virginia Inc PastSince Apr 1, 2019 Accepting new patients
Peachtree Emergency Associates Emergency Medicine Past Accepting new patients

Locations

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1861419467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "571-802-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "571-802-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Bellevue Ave",
            "address_2": "Box 1347",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310215331",
            "country_code": "US",
            "telephone_number": "404-218-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "CYNTHIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "58335",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "58335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010220017",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010111676",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010111731",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010113784",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.