Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003983693 Individual Practitioner Female Practitioner

Dr. Stephanie Lynette Poole , MD

Pediatrics • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Poole, MD is a registered healthcare professional specializing in Pediatrics in Marietta, GA. Practice services are available at 611 CAMPBELL HILL ST NW STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

611 Campbell Hill St Nw Ste 103

Marietta, GA 300601386

Telephone 7704998909
Fax 7704998911
Associated Practice Facility / Clinic
🏢 Pediatrics At Whitlock P.c. Facility NPI 1184891400

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
73 Specialists

Practicing in Marietta, GA (2326 Statewide)

Telehealth Adoption Rate
1.4% 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

CMS Verified: 2020-01-31
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 047011

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000949044D (GA)
Commercial Insurance / Payer ID License
047011 (GA)
Commercial Insurance / Payer ID Tax Id
412137622 (GA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1851316624

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2020

Pediatrics (License #047011 in GA)

NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2014

Registered at 611 CAMPBELL HILL ST NW STE 103, MARIETTA, GA 300601386 (Tel: 7704998909)

📍
Updated Business Mailing Address July 08, 2014

Registered at 611 CAMPBELL HILL ST. STE. 103, MARIETTA, GA 30060 (Tel: 7704998909)

👤
Provider Name / Credentials Updated July 08, 2014

Recorded as STEPHANIE POOLE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Specialist (License #047011 in GA)

🟢
Initial NPI Registration & Enumeration November 29, 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: 1003983693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: January 31, 2020
Sole Proprietor: Yes

Mailing Address

611 Campbell Hill St. Ste. 103

Marietta, GA 30060

Phone: 7704998909

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.