STEPHANIE AMANDA CARROLL NP
NPI 1124586029
Nurse Practitioner - Adult Health in Decatur, GA

Q: What is Stephanie Carroll's NPI number?

The NPI number for Stephanie Carroll is 1124586029. It was assigned to this individual provider in the NPPES registry on March 9, 2019.

Q: What is Stephanie Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Carroll was last updated on March 10, 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.

Active since March 09, 2019PECOS Enrolled

1670 CLAIRMONT RD, DECATUR, GA 30033(404) 321-6111 Get Directions Write a Review

NPPES record last updated: March 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephanie Amanda Carroll Np NPPES

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

STEPHANIE AMANDA CARROLL NP (NPI 1124586029) is an individual adult health provider in Decatur, Georgia, licensed in Georgia (RN216330) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1124586029

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSTEPHANIE AMANDA CARROLLCredential: NP

Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004

Mailing Address3939 Lavista Rd Ste ETucker, GA 30084-4847

Phone(404) 321-6111

Sole ProprietorNo

Enumeration DateMarch 9, 2019

Last NPPES UpdateMarch 10, 2019

✔ NPI 1124586029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · RN216330

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN216330 (GA)

1670 CLAIRMONT RD, Decatur, GA 30033

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Secondary Practice Location 1

Location 11580 Agape WayDecatur, GA 30035-1341 · Phone (917) 704-8165

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Amanda Carroll Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. LAPARISIENNE MOORE-BROWN LMSW

Social Worker

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

BRANDON HAYGOOD

Social Worker

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

ARIANNE JAMES

Registered Nurse

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

KARLA MARIE GARCIA ORTIZ MD

Family Medicine

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (044) 680-7354

MRS. JENNIFER REBECCA MUNRO MS, CCC/SLP

Speech-Language Pathologist

1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033

Dekalb County (404) 417-2953

DR. NED WILSON HOLLAND MD

Internal Medicine (Geriatric Medicine)

1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033

Dekalb County (404) 321-6111

MR. ROOSEVELT N/A DAVIS RPH

Pharmacist (Pharmacotherapy)

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

CEDRELLA CAROL JONES-TAYLOR M.D.

Internal Medicine

1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033

Dekalb County (404) 321-6111

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 Carroll's NPI number?

The NPI number for Stephanie Carroll is 1124586029. It was assigned to this individual provider in the NPPES registry on March 9, 2019.

Where is Stephanie Carroll located?

Stephanie Carroll practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-6111.

What is Stephanie Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephanie Carroll enrolled in Medicare?

Yes. Stephanie Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Carroll was last updated on March 10, 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.