STEFANIE TIERA LIVINGSTON PMHNP
NPI 1487015376
Nurse Practitioner - Psychiatric/Mental Health in Grovetown, GA

Q: What is Stefanie Livingston's NPI number?

The NPI number for Stefanie Livingston is 1487015376. It was assigned to this individual provider in the NPPES registry on March 19, 2016.

Q: What is Stefanie Livingston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 19, 2016PECOS EnrolledAccepts Medicare Assignment

4039 GATEWAY BLVD, GROVETOWN, GA 30813(706) 498-9570(678) 369-5762 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Sep 9, 2021, Oct 28, 2019 and 2 more (5 updates tracked since 2016).

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About Stefanie Tiera Livingston Pmhnp NPPES

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

STEFANIE TIERA LIVINGSTON PMHNP (NPI 1487015376) is an individual psychiatric/mental health provider in Grovetown, Georgia, licensed in Georgia (APRN-NP266928) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2015).

NPPES Registry Identity

NPI1487015376

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSTEFANIE TIERA LIVINGSTONCredential: PMHNP

Location Address4039 GATEWAY BLVDGrovetown, GA 30813-3389

Mailing Address4039 Gateway BlvdGrovetown, GA 30813-3389 · (706) 498-9570 · Fax (678) 369-5762

Phone(706) 498-9570

Fax(678) 369-5762

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2015

Enumeration DateMarch 19, 2016

Last NPPES UpdateOctober 23, 20255 updates tracked since enumeration

NPPES CertifiedOctober 23, 2025

✔ NPI 1487015376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in GA · APRN-NP266928✔ Licensed in NC · 5008450

Also ListedRegistered NurseTaxonomy 163W00000X · License RN266928 (GA)

4039 GATEWAY BLVD, Grovetown, GA 30813

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Stefanie Tiera Livingston Pmhnp 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 ID5395018386

PECOS Enrollment IDI20210924001284

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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

114 services31 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

35 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30813 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.

Other Providers at the Same Location NPPES 19

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

DR. KARA CHRISTINE CURTIS D.P.T.

Physical Therapist

4039 GATEWAY BLVD, SUITE 102
GROVETOWN, GA 30813

Columbia County (706) 210-9534

DR. ROBERT A SUYKERBUYK MD

Family Medicine