Provider Demographics
NPI:1639133135
Name:METCALFE, CONTESSA DIREAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CONTESSA
Middle Name:DIREAN
Last Name:METCALFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CONTESSA
Other - Middle Name:DIREAN
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4959 NORTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4419
Mailing Address - Country:US
Mailing Address - Phone:616-308-1701
Mailing Address - Fax:404-975-3191
Practice Address - Street 1:80 W WIEUCA RD NE STE 201
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3243
Practice Address - Country:US
Practice Address - Phone:470-443-8988
Practice Address - Fax:404-975-3191
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238879207Q00000X
GA598932083A0300X, 2083B0002X, 2083P0500X
GA059893207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine