IndividualActive
Somphong Thitaram, MD
NPI 1063504074 · General Practice Physician · Marietta, GA
Somphong Thitaram, MD is a General Practice Physician provider in Marietta, GA (NPI 1063504074).
Provider details
- NPI number
- 1063504074
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 15046 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2550 Windy Hill Rd Se
106
Marietta, GA 30067-8665
Phone: (770) 955-4314
Fax: (770) 955-4315
Street-level locationGet directions
Mailing address
2550 Windy Hill Rd Se
Marietta, GA 30067-8665
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2007-07-09
Frequently asked questions
- What is Somphong Thitaram's NPI number?
- Somphong Thitaram's National Provider Identifier (NPI) is 1063504074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Somphong Thitaram's specialty?
- Somphong Thitaram is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Somphong Thitaram located?
- Somphong Thitaram's practice location on file with NPPES is 2550 Windy Hill Rd Se, Marietta, GA 30067-8665.
- What is Somphong Thitaram's phone number?
- The practice phone number listed in the NPPES registry for Somphong Thitaram is (770) 955-4314.
- Is Somphong Thitaram's NPI active?
- Yes — Somphong Thitaram's NPI (1063504074) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.