Individual provider Active NPI

Stacie Hamley Oberstein, M.D.

  • Pediatrics Physician
  • Marietta, GA
National Provider Identifier
1861837072
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77687 Issued in GA
Practice address
3747 Roswell Rd Ste 201
Marietta, GA 30062-6227
Phone
(770) 578-2868
Fax
(770) 971-8499
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 77687 GA Primary
Pediatrics Physician 208000000X 04-39304 KS
Pediatrics Physician 208000000X 0101260604 VA

Addresses

Primary practice location

3747 Roswell Rd Ste 201
Marietta, GA 30062-6227

Mailing address

3747 Roswell Rd Ste 201
Marietta, GA 30062-6227
Phone (770) 578-2868

Other practice location 1

755 Mount Vernon Hwy NE Ste 150
Atlanta, GA 30328-4289
Phone (404) 303-1314

Other names 1

  • Stacie Nicole Hamley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130729000088 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4486895893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77687GAMDPediatrics Physician
04-39304KSMDPediatrics Physician
0101260604VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Wellness Center Pediatrics PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1861837072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 ROSWELL RD STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626227",
            "telephone_number": "770-578-2868",
            "fax_number": "770-971-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 ROSWELL RD STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626227",
            "telephone_number": "770-578-2868",
            "fax_number": "770-971-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Mount Vernon Hwy NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284289",
            "country_code": "US",
            "telephone_number": "404-303-1314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERSTEIN",
        "first_name": "STACIE",
        "middle_name": "HAMLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "77687",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-39304",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101260604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "HAMLEY",
            "middle_name": "NICOLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.