Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063504074 Individual Practitioner Male Practitioner

Dr. Somphong Thitaram , MD

General Practice • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Somphong Thitaram, MD is a registered healthcare professional specializing in General Practice in Marietta, GA. Practice services are available at 2550 WINDY HILL RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2550 Windy Hill Rd Se
106

Marietta, GA 300678665

Telephone 7709554314
Fax 7709554315
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Marietta, GA (369 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 15046

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Merry Adams , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003803941

Certified Registered Nurse Anesthetist

Clarice Schuyler , APRN

Nurse Practitioner - Women's Health

NPI 1013961937

Advanced Practice Registered Nurse

Carolyn Watson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1154318913

Certified Registered Nurse Anesthetist

NPI 1174737407

MCD, CCCA

Michael Hurst , PAAA

Anesthesiologist Assistant

NPI 1184612293
Dr. John Gaston , MD

Psychiatry & Neurology - Psychiatry

NPI 1184757940

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2550 WINDY HILL RD SE, 106, MARIETTA, GA 300678665 (Tel: 7709554314)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2550 WINDY HILL RD SE, 106, MARIETTA, GA 300678665 (Tel: 7709554314)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as SOMPHONG THITARAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

General Practice (License #15046 in GA)

🟢
Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063504074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

2550 Windy Hill Rd Se, 106

Marietta, GA 300678665

Phone: 7709554314

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.