Active NPI
Brittainy L Dark, M.D.
- Obstetrics & Gynecology Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 64918
- Practice address
- 761 Old Norcross Rd
Lawrenceville, GA 30046-4317 - Phone
- (770) 513-4000
- Fax
- (770) 995-7563
- NPI assigned
- Aug 6, 2010
- Last updated
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 64918 | GA | Primary |
Addresses
Primary practice location
761 Old Norcross Rd
Lawrenceville, GA 30046-4317
Mailing address
761 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone (770) 513-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581397572 | Other | TAX ID # | |
| 581799397 | Other | GA | MATERNAL GYNERATIONS PC |
| 997395956A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Morehouse School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Professional Dr
Suite 200
Lawrenceville, GA 30046-7651
Phone (770) 513-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64918 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Women's Health Group, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Atlanta Women's Health Group, P.C. | Current | Accepting new patients | |
| Northside Northpoint OB GYN 2 LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Northside Hospital, Inc. | Past | Accepting new patients | |
| Amnestic, LLC | Past | Accepting new patients | |
| Atlanta Women's Health Group, P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| Northside Hospital, Inc. | Past | Accepting new patients |
Locations
2098 Teron Trce
Ste 150
Dacula, GA 30019
Phone (678) 730-1620
600 Professional Dr
Ste 200
Lawrenceville, GA 30046
Phone (770) 513-4000
761 Old Norcross Rd
Lawrenceville, GA 30046
Phone (770) 513-4000
5780 Peachtree Dunwoody Rd
Ste 175
Sandy Springs, GA 30342
Phone (678) 651-2840
5780 Peachtree Dunwoody Rd
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-0621
5780 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-1137
Organizations & group practices 7
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.
-
- Specialist
- Atlanta, GA
- NPI 1174501902
-
- Obstetrics & Gynecology Physician
- Sandy Springs, GA
- NPI 1013971753
-
- Anesthesiology Physician
- Austell, GA
- NPI 1407116056
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1720946858
-
dba Northside Gwinnett Joan Glancy
- Rehabilitation Hospital Unit
- Duluth, GA
- NPI 1134168016
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1023148616
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1144535790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464317",
"telephone_number": "770-513-4000",
"fax_number": "770-995-7563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 OLD NORCROSS RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464317",
"telephone_number": "770-513-4000",
"fax_number": "770-995-7563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARK",
"first_name": "BRITTAINY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "64918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "581397572",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MATERNAL GYNERATIONS PC",
"identifier": "581799397",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "997395956A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.