Organization Active NPI

Dunwoody Obstetrics & Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Dunwoody, GA
National Provider Identifier
1265568166
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
026933 Issued in GA
Legal business name
DUNWOODY OBSTETRICS & GYNECOLOGY, PC
Practice address
1829 Independence SQ
Dunwoody, GA 30338-5151
Phone
(770) 551-9616
Fax
(770) 394-3647
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
A. L. Sermons, M.D.
Title
President
Phone
(770) 551-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 026933 GA Primary

Addresses

Primary practice location

1829 Independence SQ
Dunwoody, GA 30338-5151

Mailing address

1829 Independence SQ
Dunwoody, GA 30338-5151
Phone (770) 551-9616

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0260078Dunwoody Obstetrics & Gynecology PC1829 Independence SQ Ste 1, Dunwoody, GA 30338Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1829 Independence Sq
Dunwoody, GA 30338
Phone (770) 551-9616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1265568166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 INDEPENDENCE SQ",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385151",
            "telephone_number": "770-551-9616",
            "fax_number": "770-394-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 INDEPENDENCE SQ",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385151",
            "telephone_number": "770-551-9616",
            "fax_number": "770-394-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNWOODY OBSTETRICS & GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "SERMONS",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-551-9616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "026933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.