Individual provider Active NPI

Stefanie Christopher, APRN, NP-C, FNP-BC

  • Family Nurse Practitioner
  • Villa Rica, GA
National Provider Identifier
1972139566
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN184678 Issued in GA
Practice address
845 S Carroll Rd Ste a
Villa Rica, GA 30180-7035
Phone
(770) 400-9460
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 184678 GA
Family Nurse Practitioner 363LF0000X RN184678 GA Primary

Addresses

Primary practice location

845 S Carroll Rd Ste a
Villa Rica, GA 30180-7035

Mailing address

405 New Georgia Dr
Dallas, GA 30157-6077
Phone (770) 480-9495

Other practice location 1

144 Bill Carruth Pkwy Ste 3600
Hiram, GA 30141-3825
Phone (678) 486-5500

Other practice location 2

8855 Hospital Dr
Douglasville, GA 30134-2256
Phone (678) 784-5020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908001942 GA Practitioner - Nurse Practitioner 5294153201 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
184678GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc CurrentSince Sep 28, 2020 Accepting new patients
Aga, LLC CurrentSince May 1, 2023 Accepting new patients

Locations

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825

706 Dixie St
Ste 350
Carrollton, GA 30117
Phone (770) 812-5831

8855 Hospital Dr
Ste 101
Douglasville, GA 30134
Phone (678) 784-5020

76 Highland Pavilion Ct
Ste 161
Hiram, GA 30141
Phone (419) 410-3352

144 Bill Carruth Pkwy
Ste 3600
Hiram, GA 30141
Phone (678) 466-5500

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1972139566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NEW GEORGIA DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301576077",
            "telephone_number": "770-480-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S CARROLL RD STE A",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807035",
            "telephone_number": "770-400-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Bill Carruth Pkwy Ste 3600",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301413825",
            "country_code": "US",
            "telephone_number": "678-486-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8855 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342256",
            "country_code": "US",
            "telephone_number": "678-784-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "STEFANIE",
        "credential": "APRN, NP-C, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "184678",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN184678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

Verify at the official NPI Registry.