Individual provider Active NPI

Assia A. Stepanian, M.D.

  • Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1073649885
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
055978 Issued in GA
Practice address
755 Mount Vernon Hwy
Suite 240
Atlanta, GA 30328-4274
Phone
(404) 549-3224
Fax
(404) 459-0995
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 055978 GA
Gynecology Physician 207VG0400X 055978 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy
Suite 240
Atlanta, GA 30328-4274

Mailing address

755 Mount Vernon Hwy
Suite 240
Atlanta, GA 30328-4274
Phone (404) 549-3224

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
I20051027000027 GA Practitioner - Obstetrics/Gynecology 5890712053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

755 Mount Vernon Hwy NE
Suite 240
Atlanta, GA 30328-4277
Phone (404) 549-3224

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055978GAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academia of Endoscopic Surgery and Womens Health, LLC Gynecology CurrentSince Dec 14, 2011 Accepting new patients
North Perimeter Anesthesia LLC PastSince Feb 8, 2018 Accepting new patients

Locations

755 Mount Vernon Hwy NE
Ste 240
Sandy Springs, GA 30328
Phone (404) 459-3224

Interoperability endpoints

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

Organizations & group practices 2

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 4

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1073649885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY",
            "address_2": "SUITE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-549-3224",
            "fax_number": "404-459-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY",
            "address_2": "SUITE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-549-3224",
            "fax_number": "404-459-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANIAN",
        "first_name": "ASSIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "055978",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "055978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.