Individual provider Active NPI

Natalie Needham, MD

  • Obstetrics & Gynecology Physician
  • Marietta, GA
National Provider Identifier
1366610297
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
PENDING Issued in GA
Practice address
699 Church St NE Ste 300
Marietta, GA 30060-1122
Phone
(770) 422-8700
Fax
(770) 425-7601
NPI assigned
Feb 13, 2008
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 31900 AL
Obstetrics & Gynecology Physician 207V00000X PENDING GA Primary

Addresses

Primary practice location

699 Church St NE Ste 300
Marietta, GA 30060-1122

Mailing address

495 Taylor Rd
Montgomery, AL 36117-3513
Phone (337) 279-9333

Other identifiers 5

IdentifierTypeStateIssuer
102I160836OtherMEDICARE
GRP3569OtherGAOPTOUT
000143099MedicaidAL
300034164AMedicaidGA
1026069MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130211000365 AL Practitioner - Obstetrics/Gynecology 5597919019 Reassigns benefits to 1 organization
I20200324003792 GA Practitioner - Obstetrics/Gynecology 5597919019 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGGAMDRheumatology Physician
31900ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women's Health Group, P.C. Obstetrics & Gynecology CurrentSince Oct 27, 2019 Accepting new patients
Atlanta Women's Health Group, P.C. CurrentSince Oct 27, 2019 Accepting new patients
OB-GYN Associates of Montgomery, P.C. Obstetrics & Gynecology CurrentSince Dec 18, 2012 Accepting new patients
Northside Northpoint OB GYN 2 LLC Obstetrics & Gynecology Past Accepting new patients
Women's Healthcare Associates of Athens, LLC Obstetrics & Gynecology Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Kennestone Hospital, Inc. Past Accepting new patients

Locations

495 Taylor Rd
Montgomery, AL 36117
Phone (334) 279-9333

699 Church St NE
Ste 300
Marietta, GA 30060
Phone (770) 422-8700

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

100 Stoneforest Dr
Ste 150
Woodstock, GA 30189
Phone (678) 445-3555

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.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1366610297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173513",
            "telephone_number": "337-279-9333",
            "fax_number": "334-279-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601122",
            "telephone_number": "770-422-8700",
            "fax_number": "770-425-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "NATALIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "31900",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102I160836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOUT",
            "identifier": "GRP3569",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034164A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026069",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.