DRESDEN MELTON SODERSTROM (MD) – Surgery Physician, NPI 1083148084

DRESDEN MELTON SODERSTROM (MD) is a healthcare provider. based in Moultrie, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 96693 (GA). The NPI Number for DRESDEN MELTON SODERSTROM (MD) is 1083148084

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DRESDEN MELTON SODERSTROM (MD)
NPI
1083148084
Phone
(229) 785-2400
Address
4 LIVE OAK CT
Enumeration Date
17 April 2017
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2299851080
Graduation Year
2017 (9 years ago)
PAC ID
7911276365
Group Practice PAC ID
1557589512
Professional Enrollment ID
I20231102000561
Address ID
GA317686783MO4XXXXCTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for DRESDEN MELTON SODERSTROM (MD)

  • 4 LIVE OAK CT

    MOULTRIE, GA 317686783

    Phone: (229) 785-2400

    Type: Location

  • 979, East 3rd Street, Chattanooga, Hamilton County, Tennessee, 37403, United States

    SUITE B-401

    CHATTANOOGA, TN 374032136

    Phone: (423) 778-7695

    Type: Mailing

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 785-2400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Davol Inc. ($47).

Total Amount

$90

General + Research + Ownership

Payments

3

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231102000561IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31768)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557589512View full group profile
NameSpecialtyState
Nurse PractitionerGA
General Surgery, Sleep MedicineGA
General SurgeryGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
General SurgeryGA

Reviews

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Frequently asked questions

What is DRESDEN MELTON SODERSTROM (MD)'s NPI number?
DRESDEN MELTON SODERSTROM (MD)'s NPI is 1083148084 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DRESDEN MELTON SODERSTROM (MD)?
You should see DRESDEN MELTON SODERSTROM (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DRESDEN MELTON SODERSTROM (MD)?
DRESDEN MELTON SODERSTROM (MD)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DRESDEN MELTON SODERSTROM (MD) associated with Moultrie?
Public fields place DRESDEN MELTON SODERSTROM (MD) around Moultrie, Georgia. Always confirm the exact site before visiting.
Does DRESDEN MELTON SODERSTROM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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