Earl Stephenson Jr., M.D., DDS

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

045975 Issued in GA

Practice address

2220 Wisteria Dr
Suite 209
Snellville, GA 30078-4606

Phone

(770) 466-4700

Fax

(770) 466-4750

NPI assigned

Jul 27, 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

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Esj Aesthetics LLC

  • Plastic Surgery Physician
  • Dunwoody, GA
  • NPI 1063251668
  NPD Authorized official
• Gwinnett Physician Group, LLC

  • Internal Medicine Physician
  • Lawrenceville, GA
  • NPI 1578574661
  NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  NPD
• Paramount Plastic Surgery

  • Specialist
  • Smyrna, GA
  • NPI 1912141953
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1487678751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "address_2": "SUITE 209",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784606",
            "telephone_number": "770-466-4700",
            "fax_number": "770-466-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "address_2": "SUITE 209",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784606",
            "telephone_number": "770-466-4700",
            "fax_number": "770-466-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "EARL",
        "name_suffix": "Jr.",
        "credential": "M.D., DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "045975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stat Homecare, LLC
• State of the Art Imaging
• Kisha I. Steele, D.D.S.
• Stephen a. Godlewski MD PC
• Dejuanquaries Stephens, DMD
• Sterling at Home LLC
• Jeremy L Sterling, PA
• Eric Adonis Stevens, MD
• Santia Sade Stevenson, LMSW
• David Albert Stewart, M.D.

• Plastic Surgery Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.