DR. STEPHEN LAKE STEPHENSON (NPI# 1215051115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215051115 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN LAKE STEPHENSON |
| Credential | D.C. |
| Practice Address |
1250 Merry St Augusta GA 30904-3845 |
| Practice Telephone | 7067386102 |
| Practice Fax Number | 7067366799 |
| Mailing Telephone | 7067386102 |
| Mailing Fax Number | 7067366799 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001603 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376561613 | Stephen Stephenson | Internal Medicine | 1663 Campus Park Dr, Suite D, Monroe, NC 28112-5581 | 2006-07-17 |
| 1508850496 | Stephen R Stephenson | Pediatrics | 1215 Pleasant St., Ste. 306, Des Moines, IA 50309-1453 | 2005-09-07 |
| Street Address |
1250 MERRY ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316409758 | Carla Yalonda Lewis-hawes | Massage Therapist | 1250 Merry St, Augusta, GA 30904-3845 | 2019-04-04 |
| 1982901872 | Erica Lajulia Hawes | Massage Therapist | 1250 Merry St, Augusta, GA 30904-3845 | 2011-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929568 | Jerome Lewis II | Chiropractor | 138 8th St, Augusta, GA 30901-1310 | 2016-09-08 |
| 1215395983 | Markus Daniel Mccormac | Chiropractor | 514 State St., Augusta, KS 67010-1108 | 2016-02-09 |
| 1770878027 | Patricia M Pilling | Chiropractor | 2319 Ridge Rd, Augusta, GA 30906-5520 | 2011-06-15 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| 1891098018 | Degraaf Chiropractic Associates, Inc. | Chiropractor | 2424 Peach Orchard Rd, Augusta, GA 30906-2388 | 2010-12-09 |
| 1992939664 | Maria Viviana Nunez Aguilar | Chiropractor | 1106 Furys Ln Ste A, Augusta, GA 30907-8219 | 2009-05-11 |
| 1861632648 | Tom Edward Paris | Chiropractor | 104 Warren Rd., Augusta, GA 30907-3755 | 2009-03-06 |
| 1386883999 | Robert Evan Milhous | Chiropractor | 2321 Washington Rd, Augusta, GA 30904 | 2009-02-05 |
| 1629221213 | Life of Georgia Chiropractic Clinic | Chiropractor | 1914 Central Ave, Suite A, Augusta, GA 30904-4126 | 2008-10-28 |
| 1760602916 | James Lavallee, Dc | Chiropractor | 85 Stone St, Augusta, ME 04330-5222 | 2007-04-30 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.