Individual provider Active NPI

Stephanie Beth Muller-Dale, M.D., F.A.A.P.

  • Pediatrics Physician
  • Alpharetta, GA
National Provider Identifier
1184631368
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
59629 Issued in GA
Practice address
3180 North Point Pkwy, Suite 410
Alpharetta, GA 30005
Phone
(770) 664-0088
Fax
(770) 664-8228
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101240064 VA
Pediatrics Physician 208000000X 059629 GA
Pediatrics Physician 208000000X 59629 GA Primary

Addresses

Primary practice location

3180 North Point Pkwy, Suite 410
Alpharetta, GA 30005

Mailing address

3180 North Point Pkwy, Suite 410
Alpharetta, GA 30005
Phone (770) 664-0088

Other names 1

  • Stephanie Beth Dale Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
059629GAMDPediatrics Physician
59629GAMDPediatrics Physician
0101240064VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Point Pediatrics Pediatrics CurrentSince Aug 28, 2022 Accepting new patients

Locations

11975 Morris Rd
Ste 210
Alpharetta, GA 30005
Phone (770) 664-0088

3180 North Point Pkwy
Ste 410
Alpharetta, GA 30005
Phone (770) 664-0088

Interoperability endpoints

  • Direct secure messaging: smullerdale39160@choa.gadirect.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1184631368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 NORTH POINT PKWY, SUITE 410",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-664-0088",
            "fax_number": "770-664-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 NORTH POINT PKWY, SUITE 410",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-664-0088",
            "fax_number": "770-664-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER-DALE",
        "first_name": "STEPHANIE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101240064",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "059629",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "59629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DALE",
            "middle_name": "BETH",
            "credential": "M.D., F.A.A.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.