STEPHANIE INGRAM CSA NPI 1154595676

NPI Information

  • NPI: 1154595676
  • Provider Name: STEPHANIE INGRAM, CSA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 863 FLAT SHOALS RD SE STE C238
    CONYERS, GA
    ZIP 30094
  • Phone: (770) 354-6940

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NPI Details

Stephanie Ingram, CSA is a surgical physician assistant in Conyers, GA. Stephanie Ingram, CSA NPI is 1154595676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

863 FLAT SHOALS RD SE STE C238
CONYERS, GA
ZIP 30094-633
Phone: (770) 354-6940

The enumeration date for this NPI number is 4/16/2008 and was last updated on 5/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical3135GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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