| Stephanie Heaton Anderson, PNP, DNP, RNCS | |
|
391 East Main Street, 1 Historic Hawkins Building, Canton, GA 30114-2712 | |
| (770) 720-6963 | |
| (770) 720-6965 |
| Full Name | Stephanie Heaton Anderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 391 East Main Street, Canton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609087972 | NPI | - | NPPES |
| 495715792A | Other | GA | MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972 |
| 629697125A | Other | GA | MEDICAID PAYOR ID, NORTHSIDE CHILDREN'S PEDIATRICS CTR, NPI# 1396945515 |
| GA 54532 | Other | GA | AUTHORIZED CONTACT REPRESENTATIVE: MICHAEL G. ANDERSON, MD (ATTENDING PHYSICIAN) |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Heaton Anderson, PNP, DNP, RNCS 391 East Main Street, 1 Historic Hawkins Building, Canton, GA 30114-2712 Ph: (770) 720-6963 | Stephanie Heaton Anderson, PNP, DNP, RNCS 391 East Main Street, 1 Historic Hawkins Building, Canton, GA 30114-2712 Ph: (770) 720-6963 |
Mrs. Holly Allen, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115 Phone: 770-292-3490 Fax: 770-721-5615 | |
Maureen Gicharu, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610 | |
Dr. Julia Mcclellan Thorne, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115 Phone: 678-824-5466 Fax: 888-299-4377 | |
Mrs. Amy Marie Wheeler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114 Phone: 770-704-6988 Fax: 770-720-8775 | |
Mrs. Gracelyn Ambrister Deneus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3755 Sixes Rd, Canton, GA 30114 Phone: 404-395-0890 Fax: 470-299-9936 | |
Dr. Takiyah Jones, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Crestmont Way, Canton, GA 30114 Phone: 678-880-6698 | |
Mr. William Cole, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610 |