STACEY DAWN TATROE NP-C NPI 1811357502

NPI Information

NPI: 1811357502
Provider Name: STACEY DAWN TATROE, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3200 DOWNWOOD CIR NW
STE 550
ATLANTA, GA
ZIP 30327
Phone: (404) 351-0205
Get Directions

Stacey Dawn Tatroe, NP-C is a family nurse practitioner in Atlanta, GA with 9 years of experience. Stacey Dawn Tatroe, NP-C NPI is 1811357502. 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:

3200 DOWNWOOD CIR NW
STE 550
ATLANTA, GA
ZIP 30327-624
Phone: (404) 351-0205
Fax: (404) 351-4187

The NPI 1811357502 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 2/24/2016 and was last updated on 5/10/2017.

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
1	363L00000X	Nurse Practitioner		RN190688	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	RN190688	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003174014E	MEDICAID	GEORGIA
2	20250I1960	MEDICARE PIN	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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