Individual provider Active NPI

Olga L Uribe, M.D.

  • Obstetrics & Gynecology Physician
  • Athens, TN
National Provider Identifier
1033224258
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000045234 Issued in TN
Practice address
817 Cook Dr
Athens, TN 37303-3485
Phone
(423) 745-3394
Fax
(423) 745-6779
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 056778 GA
Obstetrics & Gynecology Physician 207V00000X MD0000045234 TN Primary

Addresses

Primary practice location

817 Cook Dr
Athens, TN 37303-3485

Mailing address

817 Cook Dr
Athens, TN 37303-3485
Phone (423) 745-3394

Other identifiers 4

IdentifierTypeStateIssuer
056778OtherGASTATE MEDICAL LICENSE #
696293295AMedicaidGA
1517492MedicaidTN
696293295CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051031000815 GA Practitioner - Obstetrics/Gynecology 4880611631 Reassigns benefits to 1 organization
I20091001000451 TN Practitioner - Obstetrics/Gynecology 4880611631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Womens Clinic, P.C.Group PAC ID 2365475969, 3 clinicians

Practice addresses (Care Compare)

817 Cook Dr
Athens, TN 37303-3485
Phone (423) 745-3394

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
056778GAMDObstetrics & Gynecology Physician
MD0000045234TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Women'S Health Specialist, P.C. Obstetrics & Gynecology CurrentSince Nov 1, 2005 Accepting new patients
Athens Womens Clinic, P.C. CurrentSince Sep 14, 2009 Accepting new patients
Athens Regional Medical Center LLC Past Accepting new patients
Family Medicine West PLLC PastSince May 26, 2024 Accepting new patients

Locations

227 Riverstone Dr
Canton, GA 30114
Phone (770) 720-7733

817 Cook Dr
Athens, TN 37303
Phone (423) 745-3394

Interoperability endpoints

  • Direct secure messaging: dr_olga_uribe@yourcarecommunity.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039275

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1033224258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COOK DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033485",
            "telephone_number": "423-745-3394",
            "fax_number": "423-745-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COOK DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033485",
            "telephone_number": "423-745-3394",
            "fax_number": "423-745-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBE",
        "first_name": "OLGA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "056778",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000045234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE #",
            "identifier": "056778",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "696293295A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517492",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "696293295C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.