STEPHANIE EVANS WELLBORN PA-C
NPI 1063828408
Physician Assistant - Medical in Cumming, GA

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment
1800 NORTHSIDE FORSYTH DR STE 450, CUMMING, GA 30041(770) 444-2191 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Evans Wellborn Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE EVANS WELLBORN PA-C (NPI 1063828408) is an individual medical provider in Cumming, Georgia, licensed in Georgia (007185) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Demorest, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063828408
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTEPHANIE EVANS WELLBORNCredential: PA-C
Location Address1800 NORTHSIDE FORSYTH DR STE 450Cumming, GA 30041
Mailing Address1800 Northside Forsyth Dr Ste 450Cumming, GA 30041-8483 · (770) 444-2191
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 7, 2014
Last NPPES UpdateJanuary 25, 2019
NPI 1063828408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 007185
1800 NORTHSIDE FORSYTH DR STE 450, Cumming, GA 30041

Secondary Practice Location 1

Location 11070 Historic Hwy 441, Suite D & EDemorest, GA 30535 · Phone (706) 778-3912

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie Evans Wellborn Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587885488
PECOS Enrollment IDI20141017001238
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041
Nurse Practitioner (Family)
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041
Physician Assistant
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041
Physician Assistant
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041
Nurse Practitioner (Family)
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041
Family Medicine
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041
Physician Assistant (Medical)
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041
Nurse Practitioner (Acute Care)
1800 NORTHSIDE FORSYTH DR STE 450
CUMMING, GA 30041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Wellborn's NPI number?

The NPI number for Stephanie Wellborn is 1063828408. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Stephanie Wellborn located?

Stephanie Wellborn practices at 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041. The listed phone number is (770) 444-2191.

What is Stephanie Wellborn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stephanie Wellborn enrolled in Medicare?

Yes. Stephanie Wellborn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Wellborn accept?

Health plans from Alliant Health Plans, Inc. list Stephanie Wellborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Wellborn was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.