| Stacie L Rolland, NP | |
|
1390 Us Highway 19 S, Leesburg, GA 31763-4831 | |
| (229) 312-7490 | |
| (229) 312-7495 |
| Full Name | Stacie L Rolland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1390 Us Highway 19 S, Leesburg, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124620935 | NPI | - | NPPES |
| 231461 | Other | GA | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F07202315 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoebe Putney Memorial Hospital, Inc. | 4486559549 | 47 |
| Entity Name | Phoebe Putney Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie L Rolland, NP 500 W 3rd Ave Ste 101, Albany, GA 31701-1900 Ph: (229) 312-5800 | Stacie L Rolland, NP 1390 Us Highway 19 S, Leesburg, GA 31763-4831 Ph: (229) 312-7490 |
Michelle Mendez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 Fax: 229-759-7030 | |
Eddie Jean Truelove, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1578 Us Highway 19 S Apt 113, Leesburg, GA 31763 Phone: 901-603-5890 | |
Schvon Bussey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Pine Arbor Dr, Leesburg, GA 31763 Phone: 706-593-9263 | |
Mrs. April Michelle Johnson, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 | |
Imiyah Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1224 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7401 | |
Gail Miranda Ricker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-759-7028 Fax: 229-759-7030 |