Individual provider Active NPI

Julianne Adams Birt, M.D.

  • Obstetrics & Gynecology Physician
  • Conyers, GA
National Provider Identifier
1073506549
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
56515 Issued in GA
Practice address
1403 Manchester Dr. NE
Conyers, GA 30012
Phone
(770) 860-0123
Fax
(888) 868-5181
NPI assigned
Aug 30, 2005
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 56515 GA Primary

Addresses

Primary practice location

1403 Manchester Dr. NE
Conyers, GA 30012

Mailing address

P.O. Box 2154
Lithonia, GA 30058
Phone (770) 860-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000768 GA Practitioner - Obstetrics/Gynecology 3779518980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julianne Adams Birt, MD, LLCGroup PAC ID 3971774571, 2 clinicians

Practice addresses (Care Compare)

1380 Milstead Ave
Suite F
Conyers, GA 30012-3864
Phone (770) 860-0123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56515GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julianne Adams Birt, MD, LLC Obstetrics & Gynecology CurrentSince Jun 29, 2011 Accepting new patients
Dekalb Women's Specialists Obstetrics & Gynecology Past Accepting new patients
Dekalb Women's Specialists 2 LLC Obstetrics & Gynecology Past Accepting new patients
Dekalb Women's Specialists Obstetrics & Gynecology Past Accepting new patients

Locations

1380 Milstead Ave NE
Ste F
Conyers, GA 30012
Phone (404) 294-0257

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJECA/Endpoint/HGJECA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1073506549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2154",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058",
            "telephone_number": "770-860-0123",
            "fax_number": "888-868-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MANCHESTER DR. NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30012",
            "telephone_number": "770-860-0123",
            "fax_number": "888-868-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS BIRT",
        "first_name": "JULIANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "56515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.