NPIMap

Organization Active NPI

Gwinnett OB/GYN Associates of Georgia, LLC

Doing business as Atlanta Women's Health Group, PC

  • Obstetrics & Gynecology Physician
  • Snellville, GA
National Provider Identifier
1457020315
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GWINNETT OB/GYN ASSOCIATES OF GEORGIA, LLC
Doing business as
Atlanta Women's Health Group, PC
Practice address
1700 Tree LN Ste 290
Snellville, GA 30078-6748
Phone
(770) 972-0330
Fax
(770) 985-2683
NPI assigned
Sep 13, 2021
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTA WOMEN'S HEALTH GROUP, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Stephen Ayres, MD
Title
Ceo
Phone
(404) 290-4237

Specialties & licenses 1

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

Addresses

Primary practice location

1700 Tree LN Ste 290
Snellville, GA 30078-6748

Mailing address

5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-8035

Other identifiers 1

IdentifierTypeStateIssuer
300034164AMedicaidGA

Other names 1

  • Atlanta Women's Health Group, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Women's Health Group PC2 organizations share this tax ID, including this one
Part of
John L Lee MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1457020315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "404-303-8035",
            "fax_number": "404-303-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LN STE 290",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786748",
            "telephone_number": "770-972-0330",
            "fax_number": "770-985-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT OB/GYN ASSOCIATES OF GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA WOMEN'S HEALTH GROUP, P.C.",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-290-4237",
        "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": "300034164A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Women's Health Group, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlanta Women's Health Group, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.