DR. MELISSA MCCARTY STATHAM


Address: 3400 Old Milton Pkwy Ste C465, Alpharetta, GA 30005-4429
Phone: 7707771100

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 940625142AA 05

Other Providers MELISSA STATHAM

NPI Name Taxonomy Address Enumeration
1811906423 Melissa Catherine Statham Nurse Practitioner 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 2006-08-05

Office Location

Street Address 3400 OLD MILTON PKWY STE C465
City ALPHARETTA
State GA
Zip Code 30005-4429

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447803424 Galloway Dermatologic Surgery LLC Dermatology 3400 Old Milton Pkwy Ste C465, Alpharetta, GA 30005-4429 2019-07-19

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ALPHARETTA
Zip Code 30005

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Dataset Information

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.

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