Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821630971 Individual Practitioner Female Practitioner

Stephanie Mcintosh Junior , NP

Nurse Practitioner - Pediatrics • Carrollton, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Stephanie Junior, NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Carrollton, GA. Official NPI practice address is registered at 107 WEDGEWOOD DR.

Practice Location & Contact Primary Location

Practice Address

107 Wedgewood Dr

Carrollton, GA 301174335

Telephone 6783907070
Fax 6783907071

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Carrollton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Carrollton, GA (929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-25
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License GA RN233377

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License GA RN233377

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi
1861915647 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Amber Boyd , NP

Nurse Practitioner - Pediatrics

NPI 1407005085

Nurse Practitioner

Keri Altman , NP-C

Nurse Practitioner

NPI 1962851352

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 25, 2025

Registered at 107 WEDGEWOOD DR, CARROLLTON, GA 301174335 (Tel: 6783907070)

👤
Provider Name / Credentials Updated March 23, 2022

Recorded as STEPHANIE JUNIOR, NP

NPI Profile Active October 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2019

Registered at 1001 JOHNSON FERRY RD, ATLANTA, GA 303421605 (Tel: 4047855050)

📍
Updated Business Mailing Address October 10, 2019

Registered at 106 WATSON DR, BREMEN, GA 301101794

👤
Provider Name / Credentials Updated October 10, 2019

Recorded as STEPHANIE JUNIOR, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Registered Nurse (License #RN233377 in GA)

🟢
Initial NPI Registration & Enumeration October 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821630971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2019
Last Update: March 25, 2025
Sole Proprietor: No

Mailing Address

106 Watson Dr

Bremen, GA 301101794

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.