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MRS. STACY EBERHART NNP-BC
NPI 1366993149
Nurse Practitioner - Neonatal, Critical Care in Marietta, GA

Active since October 17, 2016
800 KENNESAW AVE NW STE 200, MARIETTA, GA 30060(706) 272-6490 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2022, Oct 17, 2016 (2 updates tracked since 2016).

About Mrs. Stacy Eberhart Nnp-bc NPPES

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

MRS. STACY EBERHART NNP-BC (NPI 1366993149) is an individual neonatal, critical care provider in Marietta, Georgia, licensed in Georgia (189163) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1366993149
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameMRS. STACY EBERHARTCredential: NNP-BC
Location Address800 KENNESAW AVE NW STE 200Marietta, GA 30060-7940
Mailing Address1068 County Road 816Wedowee, AL 36278-6234 · (404) 376-5801
Phone(706) 272-6490
Sole ProprietorNo
Enumeration DateOctober 17, 2016
Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1366993149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in GA · 189163
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 189163 (GA)
800 KENNESAW AVE NW STE 200, Marietta, GA 30060
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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 Stacy Eberhart's NPI number?

The NPI number for Stacy Eberhart is 1366993149. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Stacy Eberhart located?

Stacy Eberhart practices at 800 Kennesaw Ave NW Ste 200, Marietta, GA 30060. The listed phone number is (706) 272-6490.

What is Stacy Eberhart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Stacy Eberhart was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.