DR. MELISSA MCCARTY STATHAM (NPI# 1154522944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154522944 |
Entity Type | Individual |
Full Name | DR. MELISSA MCCARTY STATHAM |
Credential | MD |
Practice Address |
3400 Old Milton Pkwy Ste C465 Alpharetta GA 30005-4429 |
Mailing Address |
3400-c Old Milton Parkway Suite 465 Alpharetta GA 30005 |
Practice Telephone | 7707771100 |
Practice Fax Number | 7707519089 |
Mailing Telephone | 7707771100 |
Mailing Fax Number | 7707519089 |
Enumeration Date | 2007-05-30 |
Last Update Date | 2013-09-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | 64077 | GA | Allopathic & Osteopathic Physicians |
Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
64077 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 940625142AA | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811906423 | Melissa Catherine Statham | Nurse Practitioner | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2006-08-05 |
Street Address |
3400 OLD MILTON PKWY STE C465 |
City | ALPHARETTA |
State | GA |
Zip Code | 30005-4429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447803424 | Galloway Dermatologic Surgery LLC | Dermatology | 3400 Old Milton Pkwy Ste C465, Alpharetta, GA 30005-4429 | 2019-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
Find all providers in zip 30005 |
Taxonomy Code | 207YP0228X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Pediatric Otolaryngology |
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871760231 | Atlanta Children's Ent, P.C. | Otolaryngology | 3400 Old Milton Pkwy, Suite C-465, Alpharetta, GA 30005-3707 | 2008-05-14 |
1508829417 | Ann K White | Otolaryngology | 3400 Old Milton Pkwy, Bldg C Suite 465, Alpharetta, GA 30005-3707 | 2006-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134380017 | Pediatric Ear, Nose, & Throat of Atlanta, PC | Otolaryngology | 5461 Meridian Mark Road Suite 130, Atlanta, GA 30342 | 2008-06-23 |
1578641742 | Amy Owen Reeves | Otolaryngology | 5150 Stilesboro Rd Nw Ste 220, Kennesaw, GA 30152-7742 | 2006-11-02 |
1316928823 | James Thomsen | Otolaryngology | 5461 Meridian Marks Rd Ste 130, Atlanta, GA 30342 | 2005-11-10 |
1255759494 | Sean Spencer Evans | Otolaryngology | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30322-1900 | 2014-04-04 |
1689019580 | Nandini Govil | Otolaryngology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2013-05-06 |
1437493467 | Choa Multispecialty, LLC | Otolaryngology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2012-11-15 |
1093011249 | Stephanie Ambrose | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Atlanta, GA 30308-2212 | 2011-02-07 |
1588896351 | Jonathan Maclean | Otolaryngology | 1365a Clifton Rd Ne, Atlanta, GA 30322-1013 | 2009-08-12 |
1619139425 | Kara Kerscher Prickett | Otolaryngology | 2015 Uppergate Dr Ne, Atlanta, GA 30322-0001 | 2008-07-02 |
1942462627 | John Drew Prosser | Otolaryngology | 1120 15th St, Augusta, GA 30912-0004 | 2008-06-25 |
Find all providers with the same taxonomy |
City | ALPHARETTA |
Zip Code | 30005 |
Please comment or provide details below to improve the information on DR. MELISSA MCCARTY STATHAM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.