Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Van Dine

Individual provider Family Nurse Practitioner · NPI 1588153498

Stephanie Van Dine is a Nurse Practitioner in Macon, Georgia. Qualified in 2017, 9 years ago. Practices with Middle Georgia Heart and Vascular Center, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
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Practice location Address checks out

6070 Lakeside Commons Dr
Macon, GA 31210-5778
Phone: (478) 254-2644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN275921 (GA)

Record details

NPI number1588153498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESMay 7, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Middle Georgia Heart And Vascular Center, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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