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

Stacey Lizette Simmons

Individual provider Family Nurse Practitioner · NPI 1770295594

Stacey Lizette Simmons is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
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Practice location Address checks out

2900 University Pkwy
Lawrenceville, GA 30043-4588
Phone: (716) 472-5201
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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 RN293134 (GA)

Record details

NPI number1770295594
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2022
Last updated in NPPESDecember 23, 2022
Certification dateDecember 23, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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