Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Evans Wellborn, PA-C

Individual provider Medical Physician Assistant · NPI 1063828408

Stephanie Evans Wellborn, PA-C is a Physician Assistant in Cumming, Georgia. Qualified in 2014, 12 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1800 Northside Forsyth Dr Ste 450
Cumming, GA 30041
Phone: (770) 444-2191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1070 Historic Hwy 441, Demorest, GA 30535 — (706) 778-3912

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 007185 (GA)

Record details

NPI number1063828408
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2014
Last updated in NPPESJanuary 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cumming