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

Stacey Newsome

Individual provider Registered Nurse · NPI 1497390116

Stacey Newsome is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2021, 5 years ago. Practices with Ibrahim Heart Clinic PLLC, a 42-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

2501 N Patterson St
Valdosta, GA 31602-1735
Phone: (229) 333-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN184420 (GA)

Record details

NPI number1497390116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2019
Last updated in NPPESNovember 18, 2019
Mailing address2501 N Patterson St, Valdosta, GA 31602-1735

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ibrahim Heart Clinic Pllc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Valdosta