Stanley Edgar Underwood, AGACNP in Demorest, GA

Stanley Edgar Underwood, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Demorest, Georgia. His current practice location is 638 Historic Hwy 441 Suite B, Demorest, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 534-2020.

Stanley Edgar Underwood is licensed to practice in Georgia (license number APRN-NP254470) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669205209.

Contact Information

	Stanley Edgar Underwood, AGACNP
	638 Historic Hwy 441 Suite B, Demorest, GA 30535-4561
	(770) 534-2020
	Not Available

Map and Direction

Provider's Profile

Full Name	Stanley Edgar Underwood
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	638 Historic Hwy 441 Suite B, Demorest, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669205209
Provider Enumeration Date: 08/20/2024
Last Update Date: 10/12/2025

Medicare PECOS Information:

PECOS PAC ID: 5395275762
Enrollment ID: I20250214000285

Medical Identifiers

Medical identifiers for Stanley Edgar Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669205209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN254470 (Georgia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN-NP254470 (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. Stanley Edgar Underwood allows following entities to bill medicare on his behalf.

Entity Name	Georgia Heart Institute Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477976520 PECOS PAC ID: 4183848062 Enrollment ID: O20140616001425

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. Stanley Edgar Underwood 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 Address	Practice Location Address
Stanley Edgar Underwood, AGACNP Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420	Stanley Edgar Underwood, AGACNP 638 Historic Hwy 441 Suite B, Demorest, GA 30535-4561 Ph: (770) 534-2020

Reviews and Comments

Nurse Practitioner Nurses in Demorest, GA

Shelby Lee Pritchett, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Austin Dr, Demorest, GA 30535 Phone: 706-949-0174
Tracy A Ferguson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Adams Dr Ste A, Demorest, GA 30535 Phone: 706-778-7602
Taylor James Harkness, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 Old Historic U.s. 441, Demorest, GA 30535 Phone: 706-839-1001 Fax: 706-839-1220
Sarah Jeanette Parker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 396 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-754-4348
Tammy Danielle Farmer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Austin Dr, Demorest, GA 30535 Phone: 706-754-3287 Fax: 705-754-3518
Pamela Roland, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 Historic Hwy 441-n, Demorest, GA 30535 Phone: 770-533-6521 Fax: 770-535-7445
Anny Sosebee, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 396 Historic Hwy 441 N, Demorest, GA 30535 Phone: 706-754-4348

Stanley Edgar Underwood, AGACNP - Medicare Nurse Practitioner in Demorest, GA