Robert H Stephenson Jr., MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

026188 Issued in GA

Practice address

790 Church St NE
Ste 400
Marietta, GA 30060-7282

Phone

(770) 952-8899

NPI assigned

May 18, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Atrium Imaging of Snellville

  • Clinic/Center
  • Snellville, GA
  • NPI 1841298585
  NPD (past)
• Diagnostic Systems Inc

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1518064237
  NPD (past)
• GBM Enterprises, Inc.

  • Clinic/Center
  • Dalton, GA
  • NPI 1386642015
  NPD (past)
• Lagrange Troup County Hospital Authority

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1992779748
  NPD (past)
• North Atlanta Scan Associates Inc

  • Radiology Clinic/Center
  • Alpharetta, GA
  • NPI 1700826096
  NPD (past)
• Pro Radiology, LLC

  • Radiology Clinic/Center
  • Atlanta, GA
  • NPI 1164966461
  NPD (past)
• Radiology Associates of Dekalb PC

  • Diagnostic Radiology Physician
  • Decatur, GA
  • NPI 1245206119
  NPD (past)
• Synergy Radiology, LLC

  • Radiology Clinic/Center
  • Douglasville, GA
  • NPI 1588229918
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1548213655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157",
            "telephone_number": "770-952-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "770-952-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "026188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000382104",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000936075",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Dianne Stephens, FNP-C
• Dan Stephens, D.D.S.
• Dan Bryan Stephens, M.D.
• Erica Fayer Stephens, PT, DPT
• Lori Beth Stephenson, RPH
• Margaret Steranko, M.S., CCC-SLP
• Sydney Sterger, RBT
• Tanya P Sterling, RD, LD
• Edward A Stettner, MD
• Steven R.Kilgore, LCSW

• Diagnostic Radiology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.