Active NPI
Mark Frederick Stegelman, M.D.
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1790724433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 034721
- Practice address
- 1356 Wayne Ave NE
Atlanta, GA 30306-3233 - Phone
- (404) 881-6600
- Fax
- (404) 881-1066
- NPI assigned
- Jun 6, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 034721 | GA | Primary |
| Pediatrics Physician | 208000000X | ME89382 | FL | |
| Pediatrics Physician | 208000000X | 18853 | MS | |
| Pediatrics Physician | 208000000X | 27667 | SC | |
| Pediatrics Physician | 208000000X | NC |
Addresses
Primary practice location
1356 Wayne Ave NE
Atlanta, GA 30306-3233
Mailing address
PO Box 133091
Atlanta, GA 30333-3091
Phone (404) 881-6600
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME89382 | FL | MD | Pediatrics Physician |
| 034721 | GA | MD | Pediatrics Physician |
| 18853 | MS | MD | Pediatrics Physician |
| 200400269 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790724433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 133091",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303333091",
"telephone_number": "404-881-6600",
"fax_number": "404-881-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1356 WAYNE AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303063233",
"telephone_number": "404-881-6600",
"fax_number": "404-881-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGELMAN",
"first_name": "MARK",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "034721",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME89382",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "18853",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "27667",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.