NPI age
19 years
Enumerated 2007-05-25
● Active
Type 1 · Individual
Stephanie Heaton Anderson, PNP, DNP, RNCS
Anderson is 1 of 6 nurse practitioner providers in Canton and 1 of 929 in Georgia.
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-10-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 929 active nurse practitioner providers in Georgia.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
3
In the 19% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
391 East Main Street, 1 Historic Hawkins Building
Canton, GA 301142712
Mailing address
391 East Main Street, 1 Historic Hawkins Building
Canton, GA 301142712
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
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Nurse PractitionerDefinition to come...
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Nurse PractitionerDefinition to come...
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Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 495715792A | MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972 |
| 01 (GA) | 629697125A | MEDICAID PAYOR ID, NORTHSIDE CHILDREN'S PEDIATRICS CTR, NPI# 1396945515 |
| 01 (GA) | GA 54532 | AUTHORIZED CONTACT REPRESENTATIVE: MICHAEL G. ANDERSON, MD (ATTENDING PHYSICIAN) |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Canton in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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