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MRS. STEPHANIE POLK FNP-C
NPI 1306387972
Clinical Nurse Specialist - Family Health in Atlanta, GA

Active since March 16, 2017PECOS Enrolled
2020 PEACHTREE RD NW, ATLANTA, GA 30309(404) 352-7322 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Stephanie Polk Fnp-c NPPES

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

MRS. STEPHANIE POLK FNP-C (NPI 1306387972) is an individual family health provider in Atlanta, Georgia, licensed in Georgia (204295) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306387972
Entity TypeIndividualFemale
Primary Taxonomy364SF0001X
Provider Legal NameMRS. STEPHANIE POLKCredential: FNP-C
Location Address2020 PEACHTREE RD NWAtlanta, GA 30309-1426
Mailing Address2020 Peachtree Rd NwAtlanta, GA 30309-1426 · (404) 350-7323 · Fax (404) 350-7694
Phone(404) 352-7322
Sole ProprietorNo
Enumeration DateMarch 16, 2017
Last NPPES UpdateJanuary 31, 2018
✔ NPI 1306387972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in GA · 204295
2020 PEACHTREE RD NW, Atlanta, GA 30309
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stephanie Polk Fnp-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Polk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smartmed, LLC
16 mi
Internal Medicine
612 HOLCOMB BRIDGE RD
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1912643040 (678) 928-7391
Shepherd Center, Inc.
  • Reassigned Medicare billing, Georgia enrollment
  • 69 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

MISS ASHLEY JOHNSON M.D.
Physical Medicine & Rehabilitation (Brain Injury Medicine)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 352-2020
DR. JAMES WOODROW MORGAN M.D.
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 603-4277
JILL KOVAL PHD
Psychologist (Clinical)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (866) 327-2166
DR. PRIYANCA SHAH DO
Physical Medicine & Rehabilitation
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 352-2020
VANESSA WATOREK PSY.D.
Clinical Neuropsychologist
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 603-4610
BEN W THROWER MD
Psychiatry & Neurology (Neurology)
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 352-2020
DR. JOY WILLIAMS PT, DPT
Physical Therapist
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 350-4248
ABANA FARYAL AZARIAH M.D.
Physical Medicine & Rehabilitation
2020 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 352-2020

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 Polk's NPI number?

The NPI number for Stephanie Polk is 1306387972. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Stephanie Polk located?

Stephanie Polk practices at 2020 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 352-7322.

What is Stephanie Polk's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Is Stephanie Polk enrolled in Medicare?

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

Which organizations bill Medicare for Stephanie Polk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Polk reassigns Medicare benefits to 2 organizations: Smartmed, LLC (Roswell, GA) and Shepherd Center, Inc. (GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Polk was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.