MRS. STACEY LYNNE EVANS-PAULIN PA-C
NPI 1851646467
Physician Assistant - Medical in Ellijay, GA

Active since July 19, 2012PECOS EnrolledAccepts Medicare Assignment
1362 S MAIN ST, ELLIJAY, GA 30540(706) 276-4741 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2026, Apr 14, 2022 (2 updates tracked since 2022).

About Mrs. Stacey Lynne Evans-paulin Pa-c NPPES

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

MRS. STACEY LYNNE EVANS-PAULIN PA-C (NPI 1851646467) is an individual medical provider in Ellijay, Georgia, licensed in Georgia (006483) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1851646467
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. STACEY LYNNE EVANS-PAULINCredential: PA-C
Location Address1362 S MAIN STEllijay, GA 30540-5410
Mailing Address1203 Oglethorpe Dr NeBrookhaven, GA 30319-2784
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 19, 2012
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1851646467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in GA · 006483 Licensed in NY · 034197
1362 S MAIN ST, Ellijay, GA 30540

Secondary Practice Location 1

Location 11295 BroadwayBrooklyn, NY 11221-2973 · Phone (718) 682-3903 · Fax (718) 682-3904

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

Mrs. Stacey Lynne Evans-paulin Pa-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.

PECOS PAC ID9739338807
PECOS Enrollment IDI20121004000488, I20250527001664, I20250926001086
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.

Areas of Expertise CMS Part B claims 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
120 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services50 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
36 services18 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
27 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Other Providers at the Same Location NPPES 16

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

Hospitalist
1362 S MAIN ST
ELLIJAY, GA 30540
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1362 S MAIN ST
ELLIJAY, GA 30540
Nurse Practitioner (Primary Care)
1362 S MAIN ST
ELLIJAY, GA 30540
Nurse Practitioner (Family)
1362 S MAIN ST
ELLIJAY, GA 30540
Emergency Medicine
1362 S MAIN ST
ELLIJAY, GA 30540
Durable Medical Equipment & Medical Supplies (Nursing Facility Supplies)
1362 S MAIN ST
ELLIJAY, GA 30540
Medicare Defined Swing Bed Unit
1362 S MAIN ST
ELLIJAY, GA 30540
Emergency Medicine
1362 S MAIN ST, EMERGENCY DEPARTMENT
ELLIJAY, GA 30540

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 Stacey Evans-paulin's NPI number?

The NPI number for Stacey Evans-paulin is 1851646467. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Stacey Evans-paulin located?

Stacey Evans-paulin practices at 1362 S Main St, Ellijay, GA 30540. The listed phone number is (706) 276-4741.

What is Stacey Evans-paulin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacey Evans-paulin enrolled in Medicare?

Yes. Stacey Evans-paulin 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.

When was this NPI record last updated?

The NPPES record for Stacey Evans-paulin was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.