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

Stacey Darrisaw, RN, CCM

Individual provider Case Management Registered Nurse · NPI 1104448281

Stacey Darrisaw, RN, CCM is a Case Management Registered Nurse in Columbus, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

2020 7th Ave
Columbus, GA 31904-8914
Phone: (762) 822-1242
Fax: (706) 494-4445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence RN124631 (GA)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence RN124631 (GA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence RN124631 (GA)

Record details

NPI number1104448281
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CCM
Sole proprietorYes
NPI enumeratedMay 12, 2020
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020
Mailing address49 Westwood Way, Fortson, GA 31808-6069

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