NPI age
20 years
Enumerated 2005-06-22
● Active
Type 1 · Individual
DR. Stephen D Tedder, M.D.
Tedder is 1 of 7 ophthalmology providers in Douglasville and 1 of 807 in Georgia.
Primary specialty
Ophthalmology
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-06-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 807 active ophthalmology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
6001 Professional Pkwy, Suite 2040
Douglasville, GA 301345632
Mailing address
6001 Professional Pkwy, Suite 2040
Douglasville, GA 301345632
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 08-01712 | EVERCARE |
| 01 (GA) | 324017 | WELLCARE |
| 01 (GA) | P00239339 | RAILROAD MEDICARE |
| 05 (GA) | 000719155J | |
| 01 (GA) | 4299075 | CIGNA |
| 01 (GA) | 930413 | BCBS |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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