Active NPI
Harrison Crawford Stetler, MD
- Pediatrics Physician
- Norcross, GA
National Provider Identifier
1386607190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 041681
- Practice address
- 3957 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-2207 - Phone
- (770) 449-9334
- Fax
- (770) 449-9319
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 041681 | GA | Primary |
Addresses
Primary practice location
3957 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-2207
Mailing address
6450 Spalding Dr
Suite a
Norcross, GA 30092-4650
Phone (770) 449-9334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00713468B | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041681 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brainz Therapy Inc. | Past | Accepting new patients | |
| Gwinnett Pediatric Partners, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Child & Adolescent Psychologist
- Peachtree Corners, GA
- NPI 1447858758
-
- Pediatrics Physician
- Lilburn, GA
- NPI 1528469426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1386607190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 SPALDING DR",
"address_2": "SUITE A",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300924650",
"telephone_number": "770-449-9334",
"fax_number": "770-449-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3957 HOLCOMB BRIDGE RD",
"address_2": "SUITE 100",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300922207",
"telephone_number": "770-449-9334",
"fax_number": "770-449-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETLER",
"first_name": "HARRISON",
"middle_name": "CRAWFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "041681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00713468B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
- Stateserv Medical of Florida, LLC
- Stay Well Pediatrics LLC
- Jane Turley Stclair, MD,MPH
- Step Up Continuous Healthcare
- Stephanie Leedy-Ellis, PH.D., LLC
- Loretta Ann Steurer, MSW, ACSW, LMFT,LCSW
- Lacey Nicole Stevens, NP-C
- Jamillah Deniece Stewart, MS, CRC, LAPC
- Michelle Stewart, R EEG/EPT
- Gloria Jean Stingley-Seals, D.M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.