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

Stanley Edgar Underwood, AGACNP

Individual provider Registered Nurse · NPI 1669205209

Stanley Edgar Underwood, AGACNP is a Nurse Practitioner in Demorest, Georgia. Graduated from University of South Alabama College of Medicine in 2024, 2 years ago. Practices with Georgia Heart Institute LLC, a 126-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Trained at
University of South Alabama College of Medicine
Licensed in
GA
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

638 Historic Hwy 441 Ste B
Demorest, GA 30535-4561
Phone: (770) 534-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 743 Spring St Ne, Gainesville, GA 30501-3715 — (770) 219-9000
  • 200 S Enota Dr Ne, Gainesville, GA 30501-3473 — (770) 534-2020

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN-NP254470 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN254470 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669205209
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESOctober 12, 2025
Certification dateOctober 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Georgia Heart Institute Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Demorest