NPI age
20 years
Enumerated 2005-08-11
● Active
Type 1 · Individual
Susan Gail Staviss, M.D.
Staviss is 1 of 15 pediatrics providers in Marietta and 1 of 138 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 138 active pediatrics providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
3939 Roswell Rd, Suite 300
Marietta, GA 300626251
Mailing address
3939 Roswell Rd, Suite 300
Marietta, GA 300626251
Additional practice locations
1 secondary location on file with NPPES.
Location 2
205 Hawkins Store Rd Nw Ste B1
Kennesaw, GA 301446215
Specialties
-
Pediatrics PrimaryA pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000607703D | |
| 01 (GA) | 241020 | PRIVATE HEALTHCARE SYSTEM |
| 01 (GA) | 4508167 | AETNA USHEALTHCARE |
| 01 (GA) | 3308662027 | CIGNA |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 138 Pediatrics providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.