Active NPI
Laura Melissa Steverson, NP-C
- Family Nurse Practitioner
- Douglas, GA
National Provider Identifier
1871010264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN169623
- Practice address
- 1101 Ocilla Rd
Douglas, GA 31533-2207 - Phone
- (912) 384-1900
- Fax
- (912) 383-6955
- NPI assigned
- Aug 25, 2017
- 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 | RN169623 | GA | Primary |
Addresses
Primary practice location
1101 Ocilla Rd
Douglas, GA 31533-2207
Mailing address
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRH Physician Practices, LLC | Current | Accepting new patients | |
| Coffee Regional Medical Center, Inc | Current | Accepting new patients | |
| Coffee Emergency Group LLC | Current | Accepting new patients | |
| Coffee Regional Medical Center, Inc | Current | Accepting new patients |
Locations
1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641
200 Doctors Dr
Ste L
Douglas, GA 31533
Phone (912) 383-5682
1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575
Interoperability endpoints
- laura.steverson.1@9964.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Douglas, GA
- NPI 1023353489
-
- Anesthesiology Physician
- Douglas, GA
- NPI 1437120946
-
- Multi-Specialty Clinic/Center
- Douglas, GA
- NPI 1710046073
-
- Rural Health Clinic/Center
- Douglas, GA
- NPI 1639211956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1871010264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 OCILLA RD",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332207",
"telephone_number": "912-384-1900",
"fax_number": "912-383-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OCILLA RD",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332207",
"telephone_number": "912-384-1900",
"fax_number": "912-383-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVERSON",
"first_name": "LAURA",
"middle_name": "MELISSA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN169623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.