Stanley D. Satterfield, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8718 Issued in GA

Practice address

2000 Prince Ave
Athens, GA 30606-6022

Phone

(706) 543-8377

Fax

(706) 548-2509

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 1, 2017 through May 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Athens Oral & Maxillo Facial Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Athens, GA
  • NPI 1912277765
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1386733954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066022",
            "telephone_number": "706-543-8377",
            "fax_number": "706-548-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066022",
            "telephone_number": "706-543-8377",
            "fax_number": "706-548-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERFIELD",
        "first_name": "STANLEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "8718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00221691A3",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11482856",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "279254",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "421490",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andy Santora, PAAA
• Nina Monique Santus, M.S. CCC/SLP
• Kabin Sapkota, MD
• Abigail Sarpong, MD
• Sas Womens Healthcare LLC
• Breanna Saucedo
• David J. Saucedo, NP
• Melissa W. Saunders, R.N., CRNFA
• Michael Saunders, DPT
• William Philip Saunders III, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Athens, GA
• Providers in Athens, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.