Nicole Stallworth, NP - Medicare Nurse Practitioner in Rome, GA

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Nicole Stallworth, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rome, Georgia. Her current practice location is 306 Shorter Ave Nw, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 509-3500.

Nicole Stallworth is licensed to practice in Georgia (license number RN228310) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801292941.

Contact Information

Nicole Stallworth, NP
306 Shorter Ave Nw,
Rome, GA 30165-4268
(706) 509-3500
Not Available

Map and Direction




Provider's Profile

Full NameNicole Stallworth
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location306 Shorter Ave Nw, Rome, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801292941
  • Provider Enumeration Date: 11/18/2014
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870967565
  • Enrollment ID: I20230320002999

Medical Identifiers

Medical identifiers for Nicole Stallworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801292941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN228310 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN228310 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Stallworth allows following entities to bill medicare on her behalf.
Entity NameGateway Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558478214
PECOS PAC ID: 3173510237
Enrollment ID: O20040429000700
Entity NameFloyd Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992814586
PECOS PAC ID: 6406852375
Enrollment ID: O20061017000279
Entity NameCarenow Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770713117
PECOS PAC ID: 2163561259
Enrollment ID: O20091203000017
Entity NameThrive Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20120504000149

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Stallworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Stallworth, NP
528 Pin Oak Dr,
Bethlehem, GA 30620-2588

Ph: (404) 824-3196		Nicole Stallworth, NP
306 Shorter Ave Nw,
Rome, GA 30165-4268

Ph: (706) 509-3500

Reviews and Comments


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Phone: 706-233-9349    Fax: 706-232-7986

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.