Dr. Edith J Dezoort , MD
Pediatrics • Stone Mountain, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edith Dezoort has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edith Dezoort, MD was a registered Pediatrics practicing in Stone Mountain, GA. Throughout an active medical career spanning 15 years, Dr. Dezoort provided care at the practice location at 1805 PARKE PLAZA CIR until profile deactivation on 2021-12-13.
Practice Location & Contact Primary Location
1805 Parke Plaza Cir
Ste 103
Stone Mountain, GA 30087
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Stone Mountain, GA
Practicing in Stone Mountain, GA (2326 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 13, 2021
NPI status registered as active in NPPES database
Registered at 1805 PARKE PLAZA CIR, STE 103, STONE MOUNTAIN, GA 30087 (Tel: 7704989355)
Registered at 1805 PARKE PLAZA CIR, STE 103, STONE MOUNTAIN, GA 30087 (Tel: 7704989355)
Recorded as EDITH DEZOORT, MD
Pediatrics (License #009128 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1805 Parke Plaza Cir, Ste 103
Stone Mountain, GA 30087
Phone: 7704989355
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