Stacey Favre Renner, APRN - Medicare Nurse Practitioner in Bonaire, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Bonaire
Stacey Favre Renner, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bonaire, Georgia. Her current practice location is 127 Old Highway 96 Ste B, Bonaire, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 352-7143.

Stacey Favre Renner is licensed to practice in Georgia (license number RN170160) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043633985.

Contact Information

Stacey Favre Renner, APRN
127 Old Highway 96 Ste B,
Bonaire, GA 31005-3461
(478) 352-7143
(478) 352-7144

Map and Direction




Provider's Profile

Full NameStacey Favre Renner
GenderFemale
SpecialityNurse Practitioner - Family
Location127 Old Highway 96 Ste B, Bonaire, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043633985
  • Provider Enumeration Date: 01/29/2014
  • Last Update Date: 08/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688807415
  • Enrollment ID: I20140520002634

Medical Identifiers

Medical identifiers for Stacey Favre Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043633985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN170160 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacey Favre Renner allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20051024000186
Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Favre Renner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Favre Renner, APRN
4300 N Point Pkwy Ste 300,
Alpharetta, GA 30022-4102

Ph: () -		Stacey Favre Renner, APRN
127 Old Highway 96 Ste B,
Bonaire, GA 31005-3461

Ph: (478) 352-7143

Reviews and Comments


Nurse Practitioner Nurses in Bonaire, GA

Louwana L. Hollar, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 127 Old Highway 96, Suite A, Bonaire, GA 31005
Phone: 478-922-9944    
Patience Chinenye Okolo, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 774 Ga Hwy 96, Bonaire, GA 31005
Phone: 478-988-5711    
Mrs. Laquita Charle Johnson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Southshore Ct, Bonaire, GA 31005
Phone: 229-712-8884    
Shelby Giles,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 127 Old Highway 96 Ste B, Bonaire, GA 31005
Phone: 478-352-7143    
Ms. Roneseya Bentley Williams, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 Moran Dr, Bonaire, GA 31005
Phone: 478-988-1282    Fax: 478-988-3120
Karena Collins, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Wildwood Trl, Bonaire, GA 31005
Phone: 479-957-8013    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.