P Praxis·MD
● Active Type 1 · Individual

Stephanie Ambrose, M.D.

Otolaryngology·Atlanta, GA· NPI 1093011249 · Enumerated 2011 · 15 years on NPI
Ambrose is 1 of 20 otolaryngology providers in Atlanta and 1 of 25 in Georgia.
NPI age
15 years
Enumerated 2011-02-07
Primary specialty
Otolaryngology
Plus 1 subspecialty
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-06-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 25 active otolaryngology providers in Georgia.

NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
2 states
Top 72% — 28% of peers are multi-state
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Practice location
550 Peachtree St Ne, Suite 1135
Atlanta, GA 303082212
📞 4047279610fax 4047121540
Mailing address
2015 Uppergate Dr
Atlanta, GA 303220001
📞 4047853373

Specialties

  • Otolaryngology Primary
    A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other...
    GA license #75594 taxonomy 207YP0228X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    VA license #0116023541 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 816 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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