Individual provider Active NPI

Arlie Stevens, FNP-BC

  • Nurse Practitioner
  • Swainsboro, GA
National Provider Identifier
1972888477
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN235270 Issued in GA
Practice address
355 S Coleman St
Swainsboro, GA 30401-3610
Phone
(478) 307-0880
Fax
(478) 307-0890
NPI assigned
Oct 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X RN235270 GA
Registered Nurse 163W00000X RN235270 GA
Licensed Practical Nurse 164W00000X LPN071664 GA
Licensed Practical Nurse 164W00000X 2-060549 AL
Nurse Practitioner 363L00000X RN235270 GA Primary

Addresses

Primary practice location

355 S Coleman St
Swainsboro, GA 30401-3610

Mailing address

355 S Coleman St
Swainsboro, GA 30401-3610
Phone (478) 307-0880

Other practice location 1

1899 Lake Rd Ste 212
Hiram, GA 30141-2293
Phone (770) 222-5488

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
I20201113002353 GA Practitioner - Nurse Practitioner 2163832536 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN235270GAMDRegistered Nurse
2-060549ALMDLicensed Practical Nurse
LPN071664GAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Ga Family Medicine, PC CurrentSince Oct 26, 2021 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Sep 3, 2020 Accepting new patients
Accordia Healthcare LLC CurrentSince Nov 3, 2022 Accepting new patients

Locations

2429 Mlk Jr Dr SW
Atlanta, GA 30311
Phone (404) 691-3344

1899 Lake Rd
Ste 212
Hiram, GA 30141
Phone (770) 222-5488

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

1301 Statesboro Place Cir
Statesboro, GA 30458
Phone (912) 500-2834

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1972888477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S COLEMAN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013610",
            "telephone_number": "478-307-0880",
            "fax_number": "478-307-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S COLEMAN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013610",
            "telephone_number": "478-307-0880",
            "fax_number": "478-307-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1899 Lake Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301412293",
            "country_code": "US",
            "telephone_number": "770-222-5488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ARLIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "GA",
            "license": "RN235270",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN235270",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN071664",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-060549",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN235270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

Verify at the official NPI Registry.