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

Stephanie Van Dine

Individual provider Family Nurse Practitioner · NPI 1588153498

Stephanie Van Dine is a Nurse Practitioner in Macon, Georgia. Qualified in 2017, 9 years ago. Practices with Middle Georgia Heart and Vascular Center, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
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Practice location Address checks out

6070 Lakeside Commons Dr
Macon, GA 31210-5778
Phone: (478) 254-2644
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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 RN275921 (GA)

Record details

NPI number1588153498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESMay 7, 2018
Mailing address406 High Point Rd Nw, Milledgeville, GA 31061-7068

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Middle Georgia Heart And Vascular Center, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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