MEDICARE: TERRENCE STEVENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver	045019704	GA

General Provider Information

NPI Number	:	1649692625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRENCE STEVENS

Provider Business Mailing Address
First Line	:	PO BOX 1171
Second Line	:
City	:	RED OAK
State	:	GA
Zip	:	30272-1171
Country	:	US
Telephone Number	:	678-768-5614
Fax Number	:	404-506-9074

Provider Business Practice Location Address
First Line	:	5639 DEERFIELD CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-3768
Country	:	US
Telephone Number	:	678-768-5614
Fax Number	:	404-506-9074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2014
Last Update Date	:	01/10/2014

Similar Medicare Providers

1568896017 — PRESTIGE HEALTHCARE SOUTH LLC
Practice Location Address:

5639 DEERFIELD CT
ATLANTA, GA
30349-3768

Practice Phone: 678-768-5614
Practice Fax:

1497177281 — PRESTIGE HEALTHCARE SOUTH LLC
Practice Location Address:

5639 DEERFIELD CT
ATLANTA, GA
30349-3768

Practice Phone: 678-768-5614
Practice Fax: 404-506-9074

1679745335 — AMERICAN MEDICAL, LLC
Practice Location Address:

4222 RICKENBACKER DR NE UNIT 8
ATLANTA, GA
30342-3768

Practice Phone: 404-788-3442
Practice Fax: 404-252-2584

1790539591 — VITALITY HEALTH SERVICES LLC
Practice Location Address:

2254 LAVISTA SQ NE
ATLANTA, GA
30324-3768

Practice Phone: 347-552-4976
Practice Fax:

1083569560 — THE HAVEN OF REST
Practice Location Address:

2240 CROSSRAIL DR
ATLANTA, GA
30349-4386

Practice Phone: 404-394-4267
Practice Fax:

1851246771 — ARLEN VERSTEEG PSYCHOLOGICAL HEALTH AND BEHAVIORAL SERVICES LLC
Practice Location Address:

1691 PHOENIX BLVD STE 170
ATLANTA, GA
30349-5589

Practice Phone: 404-653-0322
Practice Fax: 404-653-0466

Directions to “ TERRENCE STEVENS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.