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STEPHANIE INGRAM CSA
NPI 1154595676
Physician Assistant - Surgical in Conyers, GA

Active since April 16, 2008
863 FLAT SHOALS RD SE STE C238, CONYERS, GA 30094(770) 354-6940 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Ingram Csa NPPES

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

STEPHANIE INGRAM CSA (NPI 1154595676) is an individual surgical provider in Conyers, Georgia, licensed in Georgia (3135) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1154595676
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSTEPHANIE INGRAMCredential: CSA
Location Address863 FLAT SHOALS RD SE STE C238Conyers, GA 30094-6633
Mailing Address863 Flat Shoals Rd Se Ste C238Conyers, GA 30094-6633 · (770) 354-6940
Phone(770) 354-6940
Sole ProprietorYes
Enumeration DateApril 16, 2008
Last NPPES UpdateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1154595676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 3135
863 FLAT SHOALS RD SE STE C238, Conyers, GA 30094
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Other Providers at the Same Location NPPES

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

SGI SURGICAL CARE INCORPORATED
Physician Assistant (Surgical)
863 FLAT SHOALS RD SE STE C238
CONYERS, GA 30094
Rockdale County (770) 354-6940

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 Ingram's NPI number?

The NPI number for Stephanie Ingram is 1154595676. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Stephanie Ingram located?

Stephanie Ingram practices at 863 Flat Shoals Rd SE Ste C238, Conyers, GA 30094. The listed phone number is (770) 354-6940.

What is Stephanie Ingram's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Stephanie Ingram was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.