Stephanie Heaton Anderson, PNP, DNP, RNCS - Nurse Practitioner in Canton, GA

Stephanie Heaton Anderson, PNP, DNP, RNCS is a Nurse Practitioner - Pediatrics based in Canton, Georgia. Stephanie Heaton Anderson is licensed to practice in Georgia (license number RN173488) and her current practice location is 391 East Main Street, 1 Historic Hawkins Building, Canton, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 720-6963.

NPI number for Stephanie Heaton Anderson is 1609087972 and her current mailing address is 391 East Main Street, 1 Historic Hawkins Building, Canton, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609087972.

Contact Information

Stephanie Heaton Anderson, PNP, DNP, RNCS
391 East Main Street, 1 Historic Hawkins Building,
Canton, GA 30114-2712
(770) 720-6963
(770) 720-6965

Map and Direction




Provider's Profile

Full NameStephanie Heaton Anderson
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location391 East Main Street, Canton, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609087972
  • Provider Enumeration Date: 05/25/2007
  • Last Update Date: 10/28/2011

Medical Identifiers

Medical identifiers for Stephanie Heaton Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609087972NPI-NPPES
495715792AOtherGAMEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972
629697125AOtherGAMEDICAID PAYOR ID, NORTHSIDE CHILDREN'S PEDIATRICS CTR, NPI# 1396945515
GA 54532OtherGAAUTHORIZED CONTACT REPRESENTATIVE: MICHAEL G. ANDERSON, MD (ATTENDING PHYSICIAN)

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN173488 (Georgia)Primary
363LW0102XNurse Practitioner - Women's Health RN173488 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN173488 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health RN173488 (Georgia)Secondary

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. Stephanie Heaton Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Heaton Anderson, PNP, DNP, RNCS
391 East Main Street, 1 Historic Hawkins Building,
Canton, GA 30114-2712

Ph: (770) 720-6963
Stephanie Heaton Anderson, PNP, DNP, RNCS
391 East Main Street, 1 Historic Hawkins Building,
Canton, GA 30114-2712

Ph: (770) 720-6963

Reviews and Comments


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