Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316998255 Individual Practitioner Male Practitioner

Dr. Stanley M Tenenbaum , MD

Pediatrics • Stone Mountain, GA

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Tenenbaum, MD is a registered healthcare professional specializing in Pediatrics in Stone Mountain, GA. Practice services are available at 1805 PARKE PLAZA CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1805 Parke Plaza Cir
Ste 103

Stone Mountain, GA 30087

Telephone 7704989355
Fax 7704986294
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Stone Mountain, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Stone Mountain, GA (2326 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 011493

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
00568972A (GA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Maura Barrett , PA-C

Physician Assistant

NPI 1356988455

Physician Assistant (Certified)

NPI 1437195492

Doctor of Medicine (M.D.)

NPI 1730110370

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 January 10, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2014

Registered at 1805 PARKE PLAZA CIR, STE 103, STONE MOUNTAIN, GA 30087 (Tel: 7704989355)

📍
Updated Business Mailing Address January 10, 2014

Registered at 1805 PARKE PLAZA CIR, STE 103, STONE MOUNTAIN, GA 30087 (Tel: 7704989355)

👤
Provider Name / Credentials Updated January 10, 2014

Recorded as STANLEY TENENBAUM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2014

Pediatrics (License #011493 in GA)

🟢
Initial NPI Registration & Enumeration May 15, 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: 1316998255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2006
Last Update: January 10, 2014
Sole Proprietor: No

Mailing Address

1805 Parke Plaza Cir, Ste 103

Stone Mountain, GA 30087

Phone: 7704989355

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.