NICOLE STALLWORTH NP NPI 1801292941

NPI Information

  • NPI: 1801292941
  • Provider Name: NICOLE STALLWORTH, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 306 SHORTER AVE NW
    ROME, GA
    ZIP 30165
  • Phone: (706) 509-3500

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NPI Details

Nicole Stallworth, NP is a psychiatric/mental health nurse practitioner in Rome, GA with 5 years of experience. Nicole Stallworth, NP NPI is 1801292941. 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:

306 SHORTER AVE NW
ROME, GA
ZIP 30165-268
Phone: (706) 509-3500

The NPI 1801292941 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2014 and was last updated on 11/13/2023.

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
1163WP0808XRegistered NursePsychiatric/Mental HealthRN228310GEORGIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN228310GEORGIAYes

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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