Individual provider Active NPI

Stephanie C Carmichael, MD

  • Obstetrics & Gynecology Physician
  • Lithonia, GA
National Provider Identifier
1649266552
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036053 Issued in GA
Practice address
2745 Dekalb Medical Pkwy Ste 210
Lithonia, GA 30058-4933
Phone
(404) 593-2739
Fax
(404) 593-2746
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036053 GA Primary

Addresses

Primary practice location

2745 Dekalb Medical Pkwy Ste 210
Lithonia, GA 30058-4933

Mailing address

2745 Dekalb Medical Pkwy Ste 210
Lithonia, GA 30058-4933
Phone (404) 593-2739

Other identifiers 1

IdentifierTypeStateIssuer
00564088GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000379 GA Practitioner - Obstetrics/Gynecology 5698856607 Reassigns benefits to 1 organization
Practice locations: Decatur, GA; Lithonia, GA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Women'S Health and Wellness Center, Inc.Group PAC ID 7618058629, 2 clinicians

Practice addresses (Care Compare)

755 Commerce Dr
Suite 300
Decatur, GA 30030-2615
Phone (404) 593-2739

Hospital & facility affiliations

  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036053GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Women'S Health & Wellness Center, Inc. Obstetrics & Gynecology CurrentSince Feb 1, 2007 Accepting new patients
Dekalb Women'S Specialists 2 LLC Obstetrics & Gynecology Past Accepting new patients
Perimeter OB/GYN Care, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

755 Commerce Dr
Ste 300
Decatur, GA 30030
Phone (404) 593-2739

Interoperability endpoints

  • Direct secure messaging: stephanie.carmichael.1@3029.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1649266552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 DEKALB MEDICAL PKWY STE 210",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584933",
            "telephone_number": "404-593-2739",
            "fax_number": "404-593-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 DEKALB MEDICAL PKWY STE 210",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584933",
            "telephone_number": "404-593-2739",
            "fax_number": "404-593-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00564088G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.