TINY STEPHENS (NP) – Nurse Practitioner, NPI 1053730325

TINY STEPHENS (NP) is a healthcare provider. based in Athens, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN233192 (GA). The NPI Number for TINY STEPHENS (NP) is 1053730325

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TINY STEPHENS (NP)
NPI
1053730325
Phone
(706) 340-2997
Address
125 MORNINGVIEW CIR
Enumeration Date
15 April 2014
Last Update Date
23 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887720076
Graduation Year
2020 (6 years ago)
PAC ID
1658785597
Group Practice PAC ID
7618306721
Professional Enrollment ID
I20210204000183
Address ID
GA306552054MO704XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for TINY STEPHENS (NP)

  • 125 MORNINGVIEW CIR

    ATHENS, GA 306052255

    Phone: (706) 340-2997

    Type: Mailing

  • 675 COLLEGE AVE

    ATHENS, GA 306012635

    Phone: (706) 546-5526

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $206.

Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.

Last reported payment date: 2024-07-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($140).

Total Amount

$206

General + Research + Ownership

Payments

7

Total payment records

General Amount

$206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210204000183INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618306721View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Internal Medicine, HospitalistGA
P S Y C H I A T R YGA
Internal MedicineAR

Reviews

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Frequently asked questions

Does TINY STEPHENS (NP) have a public NPI I can cite?
Public records show TINY STEPHENS (NP) under NPI 1053730325.
Is TINY STEPHENS (NP)'s NPI status active today?
Active status means TINY STEPHENS (NP)'s NPI record is not deactivated in the public file.
What does the directory say TINY STEPHENS (NP) does?
Insurance directories may phrase it differently, but here TINY STEPHENS (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TINY STEPHENS (NP) tied to Athens, Georgia?
If you are local to Athens, Georgia, TINY STEPHENS (NP) may be relevant to your search.
Can I export TINY STEPHENS (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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