STACEY LORRIANE FEARS NP
NPI 1922358027
Nurse Practitioner - Family in Lilburn, GA

Active since September 16, 2012PECOS EnrolledAccepts Medicare Assignment
1003 OAK RD SW STE B, LILBURN, GA 30047(470) 416-1515 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 25, 2019, Feb 14, 2017 (2 updates tracked since 2017).

About Stacey Lorriane Fears Np NPPES

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

STACEY LORRIANE FEARS NP (NPI 1922358027) is an individual family provider in Lilburn, Georgia, licensed in Georgia (RN173878) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Duluth, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1922358027
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY LORRIANE FEARSCredential: NP
Location Address1003 OAK RD SW STE BLilburn, GA 30047-1826
Mailing Address2732 Ashworth CirSnellville, GA 30078-3204 · (770) 855-3229
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 16, 2012
Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration
NPI 1922358027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN173878
1003 OAK RD SW STE B, Lilburn, GA 30047

Secondary Practice Location 1

Location 13790 Pleasant Hill Rd Ste 260Duluth, GA 30096-5147 · Phone (678) 226-9412 · Fax (678) 226-9413

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

Stacey Lorriane Fears Np 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 ID4385896653
PECOS Enrollment IDI20121212000602
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

The NPI number assigned to this healthcare provider is 1922358027, enumerated as an "individual" on September 16, 2012.

The provider is located at 1003 OAK RD SW STE B LILBURN, GA 30047 and the phone number is (470) 416-1515.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.