Organization Active NPI

Meridian Obstetrics and Gynecology PC

  • Specialist
  • Atlanta, GA
National Provider Identifier
1447587910
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
046291 Issued in GA
Legal business name
MERIDIAN OBSTETRICS AND GYNECOLOGY PC
Practice address
755 Mount Vernon Hwy
Suite 220
Atlanta, GA 30328-4274
Phone
(404) 250-3660
Fax
(404) 250-3665
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Valisia A Andrews, MD
Title
Owner
Phone
(404) 250-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 046291 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy
Suite 220
Atlanta, GA 30328-4274

Mailing address

PO Box 922937
Norcross, GA 30010-2937
Phone (404) 250-3660

Other identifiers 1

IdentifierTypeStateIssuer
000819959BMedicaidGA

National Provider Directory

National Provider Directory

Locations

755 Mount Vernon Hwy NE
Ste 220
Sandy Springs, GA 30328
Phone (404) 250-3660

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1447587910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922937",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300102937",
            "telephone_number": "404-250-3660",
            "fax_number": "404-250-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY",
            "address_2": "SUITE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-250-3660",
            "fax_number": "404-250-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN OBSTETRICS AND GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "VALISIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-250-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "046291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000819959B",
            "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 Nov 4, 2009; 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.