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STEPHANIE HEATON ANDERSON PNP, DNP, RNCS
NPI 1609087972
Nurse Practitioner - Pediatrics in Canton, GA

Active since May 25, 2007
391 EAST MAIN STREET, 1 HISTORIC HAWKINS BUILDING, CANTON, GA 30114(770) 720-6963(770) 720-6965 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Heaton Anderson Pnp, Dnp, Rncs NPPES

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

STEPHANIE HEATON ANDERSON PNP, DNP, RNCS (NPI 1609087972) is an individual pediatrics provider in Canton, Georgia, licensed in Georgia (RN173488) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1609087972
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTEPHANIE HEATON ANDERSONCredential: PNP, DNP, RNCS
Location Address391 EAST MAIN STREET, 1 HISTORIC HAWKINS BUILDINGCanton, GA 30114-2712
Mailing Address391 East Main Street, 1 Historic Hawkins BuildingCanton, GA 30114-2712 · (770) 720-6963 · Fax (770) 720-6965
Phone(770) 720-6963
Fax(770) 720-6965
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateOctober 28, 2011
✔ NPI 1609087972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN173488
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN173488 (GA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN173488 (GA)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License RN173488 (GA)
391 EAST MAIN STREET, Canton, GA 30114
Open in Google Maps ↗

Other Identifiers 3

Other629697125AGA · Medicaid Payor Id, Northside Children's Pediatrics Ctr, Npi# 1396945515
Other495715792AGA · Medicaid Provider Id, Stephanie H. Anderson, Pnp, Aprn, Npi# 1609087972
OtherGA 54532GA · Authorized Contact Representative: Michael G. Anderson, Md (attending Physician)

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL GEORGE ANDERSON MD
Pediatrics
391 EAST MAIN STREET, HISTORIC HAWKINS BUILDING
CANTON, GA 30114
Cherokee County (770) 720-6963
NORTHSIDE CHILDREN'S PEDIATRIC CENTER, LLC
Pediatrics
391 EAST MAIN STREET, HISTORIC HAWKINS BUILDING
CANTON, GA 30114
Cherokee County (770) 720-6963

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 Stephanie Anderson's NPI number?

The NPI number for Stephanie Anderson is 1609087972. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Stephanie Anderson located?

Stephanie Anderson practices at 391 East Main Street 1 Historic Hawkins Building, Canton, GA 30114. The listed phone number is (770) 720-6963.

What is Stephanie Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Stephanie Anderson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stephanie Anderson 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.

When was this NPI record last updated?

The NPPES record for Stephanie Anderson was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.