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STACEY NEWSOME
NPI 1497390116
Registered Nurse in Valdosta, GA

Active since November 18, 2019PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
2501 N PATTERSON ST, VALDOSTA, GA 31602(229) 333-1000 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacey Newsome NPPES

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

STACEY NEWSOME (NPI 1497390116) is an individual registered nurse in Valdosta, Georgia, licensed in Georgia (RN184420) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497390116
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSTACEY NEWSOME
Location Address2501 N PATTERSON STValdosta, GA 31602-1735
Mailing Address2501 N Patterson StValdosta, GA 31602-1735 · (850) 464-4021
Phone(229) 333-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 18, 2019
✔ NPI 1497390116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in GA · RN184420
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
2501 N PATTERSON ST, Valdosta, GA 31602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacey Newsome 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 ID3476940727
PECOS Enrollment IDI20220505000244, I20251105004610
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

3

Medicare enrollment records show Stacey Newsome reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sgmc Physician Network Inc
Same address
Multi-Specialty
2501 N PATTERSON ST
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 183 clinicians in this Medicare group
NPI 1417597170 (229) 433-1997
Ibrahim Heart Clinic PLLC
110 mi
Clinical Cardiac Electrophysiology
5150 BELFORT RD BLDG 400
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • 45 clinicians in this Medicare group
NPI 1629511035 (904) 580-4730
Cardiac Vision LLC
114 mi
Cardiovascular Disease
7807 BAYMEADOWS RD E, SUITE 209
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 124 clinicians in this Medicare group
NPI 1144651373 (904) 230-1204

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

Areas of Expertise CMS Part B claims 3

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.
38 services37 patients
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.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

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.

JOHN STEPHEN DODD NP
Nurse Practitioner (Acute Care)
2501 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 259-4340
DR. ASMA YASIN MBBS
Internal Medicine
2501 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 259-4178
DR. NIKOLAY GOGIN MD
Internal Medicine
2501 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 259-4131
ISSAC POTHEN BRIAN MD
Student in an Organized Health Care Education/Training Program
2501 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (678) 906-0068
JOHN OLUWASEYI ERHABOR MD, MPH
Student in an Organized Health Care Education/Training Program
2501 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 433-4178
DR. FELIX G VALDEZ MD
Internal Medicine
2501 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 259-4501
TEIGHLOR NICOLE ASHBURN DO
Student in an Organized Health Care Education/Training Program
2501 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 433-1000
OBENG FORDJOUR MD
Student in an Organized Health Care Education/Training Program
2501 N PATTERSON ST
VALDOSTA, GA 31602
Lowndes County (229) 333-1000

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 Stacey Newsome's NPI number?

The NPI number for Stacey Newsome is 1497390116. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Where is Stacey Newsome located?

Stacey Newsome practices at 2501 N Patterson St, Valdosta, GA 31602. The listed phone number is (229) 333-1000.

What is Stacey Newsome's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Stacey Newsome enrolled in Medicare?

Yes. Stacey Newsome 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.

Which organizations bill Medicare for Stacey Newsome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Newsome reassigns Medicare benefits to 3 organizations: Sgmc Physician Network Inc (Valdosta, GA), Ibrahim Heart Clinic PLLC (Jacksonville, FL) and Cardiac Vision LLC (Jacksonville, FL). 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 Stacey Newsome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Newsome accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health and Oscar Health Maintenance Organization of Florida list Stacey Newsome 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 Stacey Newsome affiliated with any hospitals?

According to CMS data, Stacey Newsome is affiliated with Sgmc Health.

When was this NPI record last updated?

The NPPES record for Stacey Newsome was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.