| Stephanie White, CRNP | |
|
303 Medical Dr Ste 405, Lagrange, GA 30240-4145 | |
| (706) 242-5099 | |
| (706) 242-5231 |
| Full Name | Stephanie White |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 303 Medical Dr Ste 405, Lagrange, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801128459 | NPI | - | NPPES |
| 701289521B | Medicaid | GA | |
| RN149753 | Other | GA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN149753 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clay County Hospital | Ashland, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Clay County Healthcare Authority | 5193700797 | 10 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie White, CRNP 303 Medical Dr Ste 405, Lagrange, GA 30240-4145 Ph: (706) 242-5099 | Stephanie White, CRNP 303 Medical Dr Ste 405, Lagrange, GA 30240-4145 Ph: (706) 242-5099 |
Uzoamaka P Okonkwo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Hogansville Rd, Lagrange, GA 30241 Phone: 706-803-7390 | |
Maria Ann Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Building 200, Lagrange, GA 30240 Phone: 706-884-2641 Fax: 706-884-2353 | |
Notoya Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241 Phone: 706-443-5273 Fax: 762-323-1014 | |
Anna Odom, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1602 Vernon Rd, Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Harry Rafael Sevilla Abilla, NP-C, CRNA, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 North Davis Street, Lagrange, GA 30240 Phone: 706-812-4068 | |
Joni Lee Winter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3706 Fax: 706-845-2193 | |
John Thomas Veal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Broome St, Lagrange, GA 30240 Phone: 706-954-6750 |