Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Ambrose, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093011249

Stephanie Ambrose, MD is an Otolaryngology in Atlanta, Georgia. Graduated from Mercer University School of Medicine in 2011, 15 years ago. Practices with Candler ENT Practice LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
15
Trained at
Mercer University School of Medicine
Licensed in
GA, VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 Peachtree St NE Ste 1135
Atlanta, GA 30308-2212
Phone: (404) 727-9610
Fax: (404) 712-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence 75594 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116023541 (VA)

Record details

NPI number1093011249
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 7, 2011
Last updated in NPPESJune 23, 2016
Mailing address2015 Uppergate Dr, Atlanta, GA 30322-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Candler Ent Practice Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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