Individual provider Active NPI

Ciara Shanis Talbot, MD

  • Maternal & Fetal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1205255056
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
88995 Issued in GA
Practice address
1745 Peachtree St NE
Atlanta, GA 30309-2410
Phone
(800) 611-1811
NPI assigned
Apr 9, 2014
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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 4301114524 MI
Maternal & Fetal Medicine Physician 207VM0101X 88995 GA Primary

Addresses

Primary practice location

1745 Peachtree St NE
Atlanta, GA 30309-2410

Mailing address

1548 E Lafayette St Apt 340
Detroit, MI 48207-2980
Phone (951) 313-0755

Other practice location 1

720 Westview Dr SW
Morehouse School of Medicine Graduate Medical Education
Atlanta, GA 30310-1458
Phone (404) 616-1692

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240402004169 GA Practitioner - Obstetrics/Gynecology 8729380076 Reassigns benefits to 2 organizations
I20250801003149 WA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 8729380076 Reassigns benefits to 1 organization
I20260520002894 IL Practitioner - Obstetrics/Gynecology 8729380076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2550 Charles St
Rockford, IL 61108-1606

2550 Charles St
Rockford, IL 61108-1673

3245 Health Dr
Suite 100
Granger, IN 46530-1380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301114524MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 2, 2025 Accepting new patients
The Southeast Permanente Medical Group Obstetrics & Gynecology CurrentSince Feb 18, 2024 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jun 30, 2025 Accepting new patients
Multicare Health System CurrentSince Jul 2, 2025 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

1745 Peachtree St NE
Ste U
Atlanta, GA 30309
Phone (404) 778-6920

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1205255056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 E LAFAYETTE ST APT 340",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072980",
            "telephone_number": "951-313-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 PEACHTREE ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092410",
            "telephone_number": "800-611-1811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Westview Dr SW",
            "address_2": "Morehouse School of Medicine Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101458",
            "country_code": "US",
            "telephone_number": "404-616-1692",
            "fax_number": "404-616-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "CIARA",
        "middle_name": "SHANIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-01-18",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301114524",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "88995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1745 Peachtree St NE Ste U",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303092479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.