SANDRA MELINDA STONE RN, MSN, FNP-C
NPI 1326694852
Nurse Practitioner in Tifton, GA

Active since August 12, 2019PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
1493 KENNEDY RD STE A, TIFTON, GA 31794(229) 391-4130(229) 391-4138 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2021, Aug 12, 2019 (2 updates tracked since 2019).

About Sandra Melinda Stone Rn, Msn, Fnp-c NPPES

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

SANDRA MELINDA STONE RN, MSN, FNP-C (NPI 1326694852) is an individual nurse practitioner in Tifton, Georgia, licensed in Georgia (NP227866) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1326694852
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANDRA MELINDA STONECredential: RN, MSN, FNP-C
Location Address1493 KENNEDY RD STE ATifton, GA 31794-4178
Mailing Address907 18th St E Ste 400Tifton, GA 31794-3684 · (229) 353-3422 · Fax (229) 353-6060
Fax(229) 391-4138
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 12, 2019
Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1326694852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · NP227866
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1493 KENNEDY RD STE A, Tifton, GA 31794

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

Sandra Melinda Stone Rn, Msn, Fnp-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 ID7416287909
PECOS Enrollment IDI20190926000419
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1493 KENNEDY RD STE A
TIFTON, GA 31794
Obstetrics & Gynecology
1493 KENNEDY RD STE A
TIFTON, GA 31794
Advanced Practice Midwife
1493 KENNEDY RD STE A
TIFTON, GA 31794
Nurse Practitioner (Family)
1493 KENNEDY RD STE A
TIFTON, GA 31794
Nurse Practitioner (Family)
1493 KENNEDY RD STE A
TIFTON, GA 31794
Obstetrics & Gynecology
1493 KENNEDY RD STE A
TIFTON, GA 31794

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 Sandra Stone's NPI number?

The NPI number for Sandra Stone is 1326694852. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Sandra Stone located?

Sandra Stone practices at 1493 Kennedy Rd Ste A, Tifton, GA 31794. The listed phone number is (229) 391-4130.

What is Sandra Stone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sandra Stone enrolled in Medicare?

Yes. Sandra Stone 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 Sandra Stone accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sandra Stone 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.

Is Sandra Stone affiliated with any hospitals?

According to CMS data, Sandra Stone is affiliated with Tift Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sandra Stone was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.