Organization Active NPI

Alpha OB-GYN Group, P.C.

  • Specialist
  • Marietta, GA
National Provider Identifier
1003051012
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
018697 Issued in GA
Legal business name
ALPHA OB-GYN GROUP, P.C.
Doing business as
Alpha OB-GYN Group, P.C.
Practice address
1640 Powers Ferry Rd
BLDG 23
Marietta, GA 30067-5491
Phone
(404) 584-8428
Fax
(770) 690-9441
NPI assigned
Dec 4, 2008
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Enoch McBrayer Sr., M.D.
Title
Doctor
Phone
(404) 584-8428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 018697 GA Primary

Addresses

Primary practice location

1640 Powers Ferry Rd
BLDG 23
Marietta, GA 30067-5491

Mailing address

1640 Powers Ferry Rd
BLDG 23
Marietta, GA 30067-5491
Phone (404) 584-8428

Other names 1

  • Alpha OB-GYN Group, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1640 Powers Ferry Rd SE
Bldg 23
Marietta, GA 30067
Phone (404) 584-8428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1003051012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD",
            "address_2": "BLDG 23",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "404-584-8428",
            "fax_number": "770-690-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD",
            "address_2": "BLDG 23",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "404-584-8428",
            "fax_number": "770-690-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OB-GYN GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "MCBRAYER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ENOCH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "404-584-8428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "018697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha OB-GYN Group, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.