Dresden Melton Soderstrom, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

96693 Issued in GA

Practice address

4 Live Oak CT
Moultrie, GA 31768-6783

Phone

(229) 785-2400

NPI assigned

Apr 17, 2017

Last updated

Sep 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dresden Miranda Melton Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Medical College of Georgia School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colquitt Regional Surgery, LLCGroup PAC ID 1557589512, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colquitt Regional Surgery, LLC

  dba Sterling Group Surgery

  • Surgery Physician
  • Moultrie, GA
  • NPI 1902213846
  Medicare reassignment Care Compare group
• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094
  Medicare reassignment NPD
• Colquitt Regional Medical Center

  dba Sterling Group Specialty Pharmacy

  • Specialty Pharmacy
  • Moultrie, GA
  • NPI 1720820665
  NPD
• Colquitt Regional Medical Center

  dba GA South Family Medicine Residency Program

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1962850396
  NPD
• Colquitt Regional Pathology, LLC

  dba Sterling Group Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Moultrie, GA
  • NPI 1942865480
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094
  Care Compare affiliation
• Colquitt Regional Medical Center

  dba Colquitt Regional Geriatric Behavioral Health

  • Psychiatric Hospital Unit
  • Moultrie, GA
  • NPI 1982295036
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1083148084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-785-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LIVE OAK CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686783",
            "telephone_number": "229-785-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERSTROM",
        "first_name": "DRESDEN",
        "middle_name": "MELTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "96693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DRESDEN",
            "last_name": "MELTON",
            "middle_name": "MIRANDA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kellie Fleming Smith, M.AUD., CCC-A
• Kirby Odis Smith, D.O.
• Leta Anne Smith, L.F.M.C.
• Wayland Smith, RN
• Whitney E. Smith, CCC-SLP
• Rumonda Marketta Solomon
• South Ga Gastroenterology & Nutrition Support, Inc.
• South Ga Spine Care Institute
• South Georgia Clinic of Chiropractic Medicine (Sircy Chiropractic Clinic)
• South Georgia Pharmacy Services Inc (Convenient RX LTC #2)

• Surgery Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.