Summer Megan Stokes, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Lake Park, GA
NPI 1902679541 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1902679541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN223335 (GA)
- Practice address
- 4846 Smokey LN
Lake Park, GA 31636-3094 - Phone
- (229) 886-0942
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valdosta Orthopedic Associates PC
Practice addresses (Care Compare)
3527 N Valdosta Rd
Valdosta, GA 31602-6418
Phone (229) 247-2290
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240411000698 | GA | Practitioner - Nurse Practitioner | 2567800444 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN223335 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valdosta Orthopedic Associates PC | Current |
Accepting new patients |
Locations
3527 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 247-2290
3527 N Valdosta Rd
Ste B
Valdosta, GA 31602
Phone (229) 247-2290
Interoperability endpoints
- summer.stokes.1@11118.direct.athenahealth.com
- https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN223335 | GA | Yes |
Addresses
Primary practice location
4846 Smokey LN
Lake Park, GA 31636-3094
Mailing address
4846 Smokey LN
Lake Park, GA 31636-3094
Phone (229) 886-0942
Other providers in Lake Park, GA
- Shanna Nicole Rozier
- South Georgia Radiology Consultants, PC
- South Health District
- Murray Geronamo Starling
- Megan Stewart
- Kemberly Amanda Stone
- The Children'S Learning Hub, LLC
- Ansley Madison Tillman
- Rich Vodde
- Deborah Ann Woodward
All providers in Lake Park, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.