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DR. STEPHANIE LYNETTE POOLE M.D.
NPI 1003983693
Pediatrics in Marietta, GA

Active since November 29, 2006PECOS Enrolled
611 CAMPBELL HILL ST NW STE 103, MARIETTA, GA 30060(770) 499-8909(770) 499-8911 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Stephanie Lynette Poole M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE LYNETTE POOLE M.D. (NPI 1003983693) is an individual pediatrics provider in Marietta, Georgia, licensed in Georgia (047011) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1003983693
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. STEPHANIE LYNETTE POOLECredential: M.D.
Location Address611 CAMPBELL HILL ST NW STE 103Marietta, GA 30060-1386
Mailing Address611 Campbell Hill St. Ste. 103Marietta, GA 30060 · (770) 499-8909 · Fax (770) 499-8911
Phone(770) 499-8909
Fax(770) 499-8911
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 29, 2006
Last NPPES UpdateJanuary 31, 2020
✔ NPI 1003983693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 047011
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
611 CAMPBELL HILL ST NW STE 103, Marietta, GA 30060
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Other Identifiers 3

Other047011GA · License
Other412137622GA · Tax Id
Medicaid000949044DGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Lynette Poole M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355814468
PECOS Enrollment IDI20260619002173
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Poole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

1960 Physician Associates
694 mi
Multi-Specialty
837 CYPRESS CREEK PKWY, SUITE 105
Houston, TX 77090
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1215391941 (281) 453-2585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRICS AT WHITLOCK P.C.
Clinic/Center (Primary Care)
611 CAMPBELL HILL ST NW STE 103
MARIETTA, GA 30060
Cobb County (770) 499-8909
CAROLINE B MILLER MD
Pediatrics
611 CAMPBELL HILL ST NW STE 103
MARIETTA, GA 30060
Cobb County (770) 499-8909
LEMUEL BAJO MD
Internal Medicine
611 CAMPBELL HILL ST NW STE 103
MARIETTA, GA 30060
Cobb County (404) 435-6672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Poole's NPI number?

The NPI number for Stephanie Poole is 1003983693. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Stephanie Poole located?

Stephanie Poole practices at 611 Campbell Hill St NW Ste 103, Marietta, GA 30060. The listed phone number is (770) 499-8909.

What is Stephanie Poole's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stephanie Poole enrolled in Medicare?

Yes. Stephanie Poole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Poole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Poole reassigns Medicare benefits to 1960 Physician Associates (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Poole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Poole accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Stephanie Poole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Poole was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.