THERESA DENISE STEMBRIDGE APRN-NP-C
NPI 1740647148
Nurse Practitioner in Peachtree City, GA
About Theresa Denise Stembridge Aprn-np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA DENISE STEMBRIDGE APRN-NP-C (NPI 1740647148) is an individual nurse practitioner in Peachtree City, Georgia, licensed in Georgia (RN198359) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Theresa Denise Stembridge Aprn-np-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Stembridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 565 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theresa Stembridge's NPI number?
The NPI number for Theresa Stembridge is 1740647148. It was assigned to this individual provider in the NPPES registry on January 15, 2016.
Where is Theresa Stembridge located?
Theresa Stembridge practices at 100 S Peachtree Pkwy, Peachtree City, GA 30269. The listed phone number is (404) 948-3019.
What is Theresa Stembridge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Theresa Stembridge enrolled in Medicare?
Yes. Theresa Stembridge 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 Theresa Stembridge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Stembridge reassigns Medicare benefits to 2 organizations: Piedmont Professional Services, LLC (Stockbridge, GA) and Piedmont Hospitalist Physicians LLC (Stockbridge, GA). 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 Theresa Stembridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Stembridge accept?
Health plans from Ambetter Health, Blue Cross and Blue Shield of Texas, CareSource and CareSource (Common Ground Healthcare) list Theresa Stembridge 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 Theresa Stembridge was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Theresa Denise Stembridge, APRN-NP-C · NPI 1740647148
Nurse Practitioner physician in Peachtree City, Georgia. Individual provider, active in the CMS NPPES registry since January 15, 2016.
## Identity
- **NPI:** 1740647148 (Entity type: Individual)
- **Enumerated:** January 15, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN198359 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 S PEACHTREE PKWY, Peachtree City, GA 30269-1705
- **Phone:** (404) 948-3019
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Piedmont Professional Services, LLC (NPI 1104088905, Stockbridge, GA); Piedmont Hospitalist Physicians LLC (NPI 1548219660, Stockbridge, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740647148) · Data from the CMS NPPES public registry.