Individual provider Active NPI

Layla S. Jaffree, M.D.

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1386919587
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
77834 Issued in GA
Practice address
2801 N Decatur Rd Ste 190
Decatur, GA 30033-5924
Phone
(404) 299-9307
Fax
(404) 299-9309
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0056706 CO
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 77834 GA Primary

Addresses

Primary practice location

2801 N Decatur Rd Ste 190
Decatur, GA 30033-5924

Mailing address

2801 N Decatur Rd Ste 190
Decatur, GA 30033-5924
Phone (404) 299-9307

Other practice location 1

1701 W 72nd Ave
Denver, CO 80221-2721
Phone (303) 650-4460

Other practice location 2

1805 Parke Plaza Cir Ste 102
Stone Mountain, GA 30087-3646
Phone (770) 469-9961

Other practice location 3

550 Peachtree St NE Ste 1470
Atlanta, GA 30308-2242
Phone (404) 589-2670 ext. 213

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919003673 GA Practitioner - Obstetrics/Gynecology 0446470223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77834GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GYN & OB of Dekalb, P.C. Single Specialty CurrentSince Jan 29, 2019 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Single Specialty PastSince Jul 7, 2018 Accepting new patients

Locations

2801 N Decatur Rd
Ste 190
Decatur, GA 30033
Phone (404) 292-8899

1805 Parke Plaza Cir
Ste 102
Stone Mountain, GA 30087
Phone (770) 469-9661

Interoperability endpoints

  • Direct secure messaging: layla.jaffree@goodobgyn.gadirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1386919587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 190",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335924",
            "telephone_number": "404-299-9307",
            "fax_number": "404-299-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 190",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335924",
            "telephone_number": "404-299-9307",
            "fax_number": "404-299-9309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W 72nd Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802212721",
            "country_code": "US",
            "telephone_number": "303-650-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Parke Plaza Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873646",
            "country_code": "US",
            "telephone_number": "770-469-9961",
            "fax_number": "770-413-0013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Peachtree St NE Ste 1470",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082242",
            "country_code": "US",
            "telephone_number": "404-589-2670 x213",
            "fax_number": "404-589-2671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFREE",
        "first_name": "LAYLA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0056706",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "77834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.