MRS. STANNETTA SHONNAE JEFFERSON MED
NPI 1780555607
Counselor - Mental Health in Villa Rica, GA

Active since September 15, 2025
1836 CARROLLTON VILLA RICA HWY STE 103, VILLA RICA, GA 30180(404) 955-8558 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stannetta Shonnae Jefferson Med NPPES

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

MRS. STANNETTA SHONNAE JEFFERSON MED (NPI 1780555607) is an individual mental health provider in Villa Rica, Georgia and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1780555607
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. STANNETTA SHONNAE JEFFERSONCredential: MED
Location Address1836 CARROLLTON VILLA RICA HWY STE 103Villa Rica, GA 30180-5193
Mailing Address1836 Carrollton Villa Rica Hwy Ste 103Villa Rica, GA 30180-5193 · (404) 955-8558
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 15, 2025
NPI 1780555607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1836 CARROLLTON VILLA RICA HWY STE 103, Villa Rica, GA 30180

Other Providers at the Same Location NPPES 3

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

Social Worker
1836 CARROLLTON VILLA RICA HWY STE 103
VILLA RICA, GA 30180
Counselor (Professional)
1836 CARROLLTON VILLA RICA HWY STE 103
VILLA RICA, GA 30180
Counselor
1836 CARROLLTON VILLA RICA HWY STE 103
VILLA RICA, GA 30180

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 Stannetta Jefferson's NPI number?

The NPI number for Stannetta Jefferson is 1780555607. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Stannetta Jefferson located?

Stannetta Jefferson practices at 1836 Carrollton Villa Rica Hwy Ste 103, Villa Rica, GA 30180. The listed phone number is (404) 955-8558.

What is Stannetta Jefferson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stannetta Jefferson was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.