Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Stephanie Heaton Anderson, PNP, DNP, RNCS

Pediatric Nurse Practitioner in Canton, GA · enumerated 2007 · practices at Northside Children'S Pediatric Center, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609087972

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Registry record

Entity type Individual (Type 1)

Name Stephanie Heaton Anderson

Credential PNP, DNP, RNCS

Sex Female

Practice address 391 East Main Street, 1 Historic Hawkins Building, Canton, GA, 30114

Phone (770) 720-6963

Fax (770) 720-6965

Enumeration date May 25, 2007

Last updated in NPPES Oct 28, 2011

Taxonomy & licenses

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN173488 (GA) Primary

363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN173488 (GA) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN173488 (GA) Secondary

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN173488 (GA) Secondary

DNP · Doctor of Nursing Practice: A clinical doctorate for advanced practice nurses. About the DNP credential

Other identifiers

Identifier	Type	State	Issuer
495715792A	Other	GA	MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972
629697125A	Other	GA	MEDICAID PAYOR ID, NORTHSIDE CHILDREN'S PEDIATRICS CTR, NPI# 1396945515
GA 54532	Other	GA	AUTHORIZED CONTACT REPRESENTATIVE: MICHAEL G. ANDERSON, MD (ATTENDING PHYSICIAN)

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Stephanie Anderson?

The National Provider Identifier (NPI) for Stephanie Anderson is 1609087972, a Type 1 (individual) record in the CMS NPPES registry.

Where does Stephanie Anderson practice?

The practice location on file with NPPES is in Canton, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Michael Anderson Pediatrics Physician · Canton, GA NPI 1073685418 Northside Children'S Pediatric Center, LLC Pediatrics Physician · Canton, GA NPI 1396945515

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-28.