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STELLA MEDICAL CENTER LLC
NPI 1558773002
Nurse Practitioner - Family in Douglasville, GA

Active since June 02, 2014CLIA 11D2080777 · Waiver
2121 FAIRBURN RD, SUITE B, DOUGLASVILLE, GA 30135(678) 594-3881(687) 594-3871 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stella Medical Center Llc NPPES

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

STELLA MEDICAL CENTER LLC (NPI 1558773002) is a healthcare organization registered as a family in Douglasville, Georgia and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Caroline C Anaele, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1558773002
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSTELLA MEDICAL CENTER LLC
Location Address2121 FAIRBURN RD, SUITE BDouglasville, GA 30135-1007
Mailing Address2121 Fairburn Rd, Suite BDouglasville, GA 30135-1007 · (678) 594-3881 · Fax (687) 594-3871
Phone(678) 594-3881
Fax(687) 594-3871
Organization SubpartNo
Authorized OfficialCaroline C AnaeleFamily Nurse Practitioner · (678) 594-3881
Enumeration DateJune 2, 2014
✔ NPI 1558773002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN135346
2121 FAIRBURN RD, Douglasville, GA 30135
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2080777

Stella Medical Center · Douglasville, GA
Active · expires Jul 14, 2028
CLIA Number11D2080777
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorCaroline C. Anaele
Laboratory Phone(678) 594-3881
Laboratory LocationStella Medical Center2121-B Fairburn Road, Douglasville, GA 30135
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LUCA FAMILY CLINIC
Clinic/Center (Primary Care)
2121 FAIRBURN RD, SUITE B
DOUGLASVILLE, GA 30135
Douglas County (256) 468-5903

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 Stella Medical Center LLC's NPI number?

The NPI number for Stella Medical Center LLC is 1558773002. It was assigned to this organization in the NPPES registry on June 2, 2014.

Where is Stella Medical Center LLC located?

Stella Medical Center LLC is located at 2121 Fairburn Rd Suite B, Douglasville, GA 30135. The listed phone number is (678) 594-3881.

What is Stella Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Stella Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2080777) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stella Medical Center LLC was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.