Active NPI
Arlie Stevens, FNP-BC
- Nurse Practitioner
- Swainsboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN235270
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN235270 | GA | MD | Registered Nurse |
| 2-060549 | AL | MD | Licensed Practical Nurse |
| LPN071664 | GA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Ga Family Medicine, PC | Current | Accepting new patients | |
| Minuteclinic LLC | Nurse Practitioner | Current | Accepting new patients |
| Accordia Healthcare LLC | Current | 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.
-
- Primary Care Clinic/Center
- Vidalia, GA
- NPI 1962826511
-
- Family Medicine Physician
- Hiram, GA
- NPI 1093974578
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.