Organization Active NPI

Kenny R Sinervo MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Atlanta, GA
National Provider Identifier
1013385467
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
1526905 Issued in GA
Legal business name
KENNY R SINERVO MD
Practice address
1140 Hammond Dr
BLDG F S-6220
Atlanta, GA 30328-5338
Phone
(770) 913-0001
Fax
(770) 913-0005
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Kenny R Sinervo, M.D.
Title
Medical Director
Phone
(770) 913-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X 1526905 GA Primary

Addresses

Primary practice location

1140 Hammond Dr
BLDG F S-6220
Atlanta, GA 30328-5338

Mailing address

1140 Hammond Dr
BLDG F S-6220
Atlanta, GA 30328-5338
Phone (770) 913-0001

Other names 1

  • CENTER FOR ENDOMETRIOSIS CARE Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1013385467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DR",
            "address_2": "BLDG F S-6220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285338",
            "telephone_number": "770-913-0001",
            "fax_number": "770-913-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DR",
            "address_2": "BLDG F S-6220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285338",
            "telephone_number": "770-913-0001",
            "fax_number": "770-913-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY R SINERVO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "SINERVO",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-913-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "GA",
            "license": "1526905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR ENDOMETRIOSIS CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.