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

Stacie D. Buckley

Individual provider Family Nurse Practitioner · NPI 1265297873

Stacie D. Buckley is a Nurse Practitioner in Louisville, Georgia. Qualified in 2023, 3 years ago. Practices with Southland Emergency Medical Services Consolidated, LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024

Practice location Address checks out

1067 Peachtree St
Louisville, GA 30434-1599
Phone: (478) 625-7000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN140629 (GA)

Record details

NPI number1265297873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024
Mailing address1067 Peachtree St, Louisville, GA 30434-1558

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southland Emergency Medical Services Consolidated, Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Louisville