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STANLEY EDGAR UNDERWOOD AGACNP
NPI 1669205209
Nurse Practitioner - Acute Care in Demorest, GA

Active since August 20, 2024PECOS EnrolledAccepts Medicare Assignment
638 HISTORIC HWY 441 SUITE B, DEMOREST, GA 30535(770) 534-2020 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 12, 2025, Feb 4, 2025, Aug 20, 2024 (3 updates tracked since 2024).

About Stanley Edgar Underwood Agacnp NPPES

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

STANLEY EDGAR UNDERWOOD AGACNP (NPI 1669205209) is an individual acute care provider in Demorest, Georgia, licensed in Georgia (APRN-NP254470) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669205209
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSTANLEY EDGAR UNDERWOODCredential: AGACNP
Location Address638 HISTORIC HWY 441 SUITE BDemorest, GA 30535-4561
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 534-2020
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2024
Enumeration DateAugust 20, 2024
Last NPPES UpdateOctober 12, 20253 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
✔ NPI 1669205209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · APRN-NP254470
Also ListedRegistered NurseTaxonomy 163W00000X · License RN254470 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
638 HISTORIC HWY 441 SUITE B, Demorest, GA 30535
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 S Enota Dr NEGainesville, GA 30501-3473 · Phone (770) 534-2020
Location 2743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 219-9000

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

Stanley Edgar Underwood Agacnp 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 ID5395275762
PECOS Enrollment IDI20250214000285
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.

Hospital Affiliations CMS Care Compare 4

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Mountain Lakes Medical Center

Critical Access Hospitals · Clayton, GA
OwnershipProprietary
CMS Certification Number111336
Location162 Legacy PointClayton, GA 30525 · Rabun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30535 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.

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 Stanley Underwood's NPI number?

The NPI number for Stanley Underwood is 1669205209. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Stanley Underwood located?

Stanley Underwood practices at 638 Historic Hwy 441 Suite B, Demorest, GA 30535. The listed phone number is (770) 534-2020.

What is Stanley Underwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Stanley Underwood enrolled in Medicare?

Yes. Stanley Underwood 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.

Is Stanley Underwood affiliated with any hospitals?

According to CMS data, Stanley Underwood is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Union General Hospital and Mountain Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Stanley Underwood was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.