Cristina Elstad, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

080441 Issued in GA

Practice address

740 Prince Ave Ste 3
Athens, GA 30606-5903

Phone

(706) 548-4272

Fax

(706) 548-9181

NPI assigned

Mar 24, 2014

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Athens OBGYN II LLC

  • Specialist
  • Athens, GA
  • NPI 1730495680
  NPD (past)
• Athens Obstetrics and Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1215436043
  NPD (past)
• Gwinnett OB GYN Associates of Georgia II, LLC

  dba Atlanta Women's Health Group, PC

  • Obstetrics & Gynecology Physician
  • Snellville, GA
  • NPI 1932826328
  NPD (past)
• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1114344553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "706-548-4272",
            "fax_number": "706-548-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE STE 3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065903",
            "telephone_number": "706-548-4272",
            "fax_number": "706-548-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSTAD",
        "first_name": "CRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "080441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034164A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GRP3569",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Ellis, MD
• April Lynne Ellison, RN
• Mark Frederick Ellison, M.D.
• Grady Elmore, N.P.
• James A Elmore, M.D.
• David Elvington, PAAA
• Nick Emamifar
• Empyrean Hospice of Georgia, LLC
• Laura W English, PTA
• Enhancing Lives Face 2 Face Inc.

• Obstetrics & Gynecology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.