Cynthia Diane Stover is a Physician Assistant practicing in Augusta, Georgia. The National Provider Identifier (NPI) is #1366852063, which was assigned on May 2, 2014, and the registration record was last updated on July 17, 2025. The practitioner's main practice location is at 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549; the contact telephone number is 7064326866. The primary taxonomy of Cynthia Diane Stover is Physician Assistant (363A00000X). Cynthia Diane Stover is licensed to practice in the state of South Carolina (#2103), Georgia (#8679).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1366852063 |
| Entity Type | Individual |
| Provider Name | CYNTHIA DIANE STOVER |
| Other Name |
CYNTHIA D WHITAKER (Former Name) |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
3633 Wheeler Rd Ste 365 Augusta GA 30909-6549 |
| Practice Telephone | 7064326866 |
| Mailing Address |
410 University Pkwy Suite 2300 Aiken SC 29801-6807 |
| Mailing Telephone | 8033351219 |
| Mailing Fax Number | 8033351689 |
| Certification Date | 2025-07-17 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2025-07-17 |
| Is Sole Proprietor | Y |
| PAC ID |
3072830439 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | CYNTHIA DIANE STOVER |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | PERSONAL RECOVERY NETWORK LLC |
| Address |
250 Corporate Ctr Ct Stockbridge GA 30281-6388 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363AM0700X | Physician Assistant | Medical | 2103 | SC | |
| Y | 363A00000X | Physician Assistant | 8679 | GA |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 1935PA | SC | MEDICAID | |
| 100077887 | WI | MEDICAID |
| Address | Telephone | Fax |
|---|---|---|
| 1300 South Drive, Winnebago, WI 549850009 | 9202354910 ext. 2210 | |
| 410 University Pkwy, Suite 2300, aiken, SC 298016807 | 8033351219 | 8033351689 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| Classification | Physician Assistant |
| Specialization | Medical |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Santiago Hernandez Cruz | 1412 Mockingbird Ln Apt M305, Midland, TX 79705-2073 | Physician Assistant | 2026-06-05 |
| Jacob Somoza | 565 Turnpike St Ste 85, North Andover, MA 01845-5936 | Physician Assistant | 2026-06-06 |
| Anna Sophia Drossos | 1972 Clark Ave, Alliance, OH 44601-3993 | Physician Assistant | 2026-06-06 |
| Isabella Renee Pecoraro | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | Physician Assistant | 2026-06-06 |
| Charles Powell Venable III | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-06 |
| Nesreen Dawoud Ahmad | 1972 Clark Ave, Alliance, OH 44601-3993 | Physician Assistant | 2026-06-06 |
| Kayla Nicole Commings | 16 Stacy Dr, New Middletown, OH 44442-9705 | Physician Assistant | 2026-06-06 |
| Casey Lynn Treon | 34 Angela St, Canton, MA 02021-2250 | Physician Assistant | 2026-06-06 |
| Kyla Morgan Brossoit | 2301 Erwin Rd, Durham, NC 27705-4699 | Physician Assistant | 2026-06-06 |
| Connor Matzke | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
3633 WHEELER RD STE 365 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6549 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Nathaniel Tucker Braddy | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Professional Counselor | 2021-05-12 |
| Donna Lynn Londino | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Psychiatry Physician | 2006-08-30 |
| Bethany Anne Barcomb | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Professional Counselor | 2021-07-08 |
| Tito Terrell Gordon · Oto Terrell Gordon | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Professional Counselor | 2022-01-18 |
| Cassia Leigh Denton · Cassia Leigh West | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Professional Counselor | 2022-06-01 |
| Michele Dupuis Bouchard | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Professional Counselor | 2018-01-19 |
| Chastity Monique Richardson | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Addiction (Substance Use Disorder) Counselor | 2022-03-23 |
| Christy J Gardner | 3633 Wheeler Rd Ste 365, Augusta, GA 30909 | Professional Counselor | 2016-03-11 |
| Austin Thomas Shively | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Counselor | 2021-07-21 |
| Brian Patrick Adams | 3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549 | Clinical Social Worker | 2011-09-02 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ruth A Nelson-Abbott | 3633 Wheeler Rd, Suite 110, Augusta, GA 30909-6549 | Counseling Psychologist | 2006-10-03 |
| Amy Frances Hirshoren Green | 3633 Wheeler Rd, Suite 100 A, Augusta, GA 30909-6549 | Clinical Social Worker | 2010-03-12 |
| Resolution Counseling Professionals | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | Professional Counselor | 2014-06-02 |
| Melissa A. Mudd | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | Mental Health Counselor | 2016-12-08 |
| Anita Schafer Godwin | 3633 Wheeler Rd, Suite 110, Augusta, GA 30909-6549 | Professional Counselor | 2006-06-21 |
| Ebonie Briana Harris | 3633 Wheeler Rd Unit 365, Augusta, GA 30909-6549 | Professional Counselor | 2019-03-27 |
| Leigh Shannon Stephens | 3633 Wheeler Rd, Suite 100, Augusta, GA 30909-6549 | Professional Counselor | 2013-02-18 |
| Sidney Austin Gates Jr. | 3633 Wheeler Rd, Suite 110, Augusta, GA 30909-6549 | Marriage & Family Therapist | 2007-01-08 |
| John P. Swing, Md, LLC | 3633 Wheeler Rd, Suite 110, Augusta, GA 30909-6549 | Psychiatry Physician | 2009-10-06 |
| Debbie Ruth Johnson | 3633 Wheeler Rd, Suite 100-A, Augusta, GA 30909-6549 | Professional Counselor | 2010-07-19 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Victoria Lynn Dale | 3942 Harper Franklin Avenue, Augusta, GA 30909 | Pharmacist | 2024-07-25 |
| Katelyn Davidson | 2744 Washinton Road, Augusta, GA 30909 | Pharmacist | 2023-03-06 |
| Candice M Cruse | 2609 Commons Blvd, Augusta, GA 30909 | Clinical Social Worker | 2019-10-09 |
| Sandro Pasagic | 8100 Sunhigh Circle, Apartment 8302, Augusta, GA 30909 | Student in an Organized Health Care Education/Training Program | 2024-03-27 |
| Real Hearing Usa LLC | 1215 George C. Wilson Dr., Ste 3a, Augusta, GA 30909 | Audiologist | 2024-01-11 |
| Abigail O Danns | 2933 Leaflet Way, Augusta, GA 30909 | Clinical Social Worker | 2025-07-26 |
| Angelina Boampong | 3651 Wheeler Rd., Mob1 3rd - Gme., Augusta, GA 30909 | Student in an Organized Health Care Education/Training Program | 2026-03-23 |
| Sabrina Mosley Williamson | 1350 Augusta West Parkway, Augusta, GA 30909 | Family Nurse Practitioner | 2024-07-24 |
| Timothy Prator | Cvs 2703 Washington Rd, Augusta, GA 30909 | Pharmacist | 2022-09-22 |
| Shani Brooks | Doctors Hospital of Augusta, 3651 Wheeler Road, Augusta, GA 30909 | Student in an Organized Health Care Education/Training Program | 2026-04-15 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cynthia Louise Canney · Cynthia Louise Hansen | 502 W. El Norte Parkway, Excondido, CA 92026 | Marriage & Family Therapist | 2007-02-27 |
| Cynthia Agu | 3208 E Florence Ave, Huntington Park, CA 90255-5832 | Pharmacist | 2026-03-09 |
| Cynthia Ly | 3869 Miramar St, La Jolla, CA 92092-0004 | Physician Assistant | 2026-04-28 |
| Cynthia L Van Nus | 1000 Main St, Suite 100b, Hilton Head Isl, SC 29926 | Social Worker | 2007-01-16 |
| Cynthia A Fanning · Cynthia A Wind | 650 Joel Dr., Behavioral Health, Fort Campbel, KY 42223 | Clinical Social Worker | 2007-03-26 |
| Cynthia Fabiola Campos I · Cynthia Sanchez | 160 N L St, Tulare, CA 93274-4114 | Behavior Technician | 2026-04-13 |
| Cynthia Giordano · Cynthia Levchenko | 15 Highview Drive, Huntington Bay, NY 11743-1428 | Clinical Social Worker | 2009-10-27 |
| Cynthia Zoeller · Cynthia Mccune | 1345 Philomena St, Austin, TX 78723-3210 | Critical Care Pharmacist | 2026-03-31 |
| Cynthia Guo | 624 Ne Glen Oak Avenue, 2nd Floor, Peoria, IL 61603 | Student in an Organized Health Care Education/Training Program | 2026-04-06 |
| Cynthia Sun | 180 Fort Washington Ave, New York, NY 10032-3722 | Student in an Organized Health Care Education/Training Program | 2026-04-09 |
Do you have more infomration about Cynthia Diane Stover? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |