Organization Active NPI

Garry E. Siegel, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1396186862
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GARRY E. SIEGEL, M.D., P.C.
Practice address
1874 Piedmont Ave NE Ste 500E
Atlanta, GA 30324-4878
Phone
(404) 607-0042
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Dr. Garry Earl Siegel, MD
Title
President
Phone
(404) 281-9013

Specialties & licenses 1

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

Addresses

Primary practice location

1874 Piedmont Ave NE Ste 500E
Atlanta, GA 30324-4878

Mailing address

PO Box 1221
Roswell, GA 30077-1221
Phone (404) 281-9013

Other identifiers 1

IdentifierTypeStateIssuer
000448383MMedicaidGA

National Provider Directory

National Provider Directory

Locations

2500 Hospital Blvd
Ste 4
Roswell, GA 30076
Phone (678) 820-6034

2500 Hospital Blvd
Ste 410
Roswell, GA 30076
Phone (470) 956-4270

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1396186862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300771221",
            "telephone_number": "404-281-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT AVE NE STE 500E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244878",
            "telephone_number": "404-607-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY E. SIEGEL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-281-9013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000448383M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.