Karen J Weiss, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

060630 Issued in GA

Practice address

1792 Woodstock Rd
BLDG 300
Roswell, GA 30075-2199

Phone

(678) 218-1710

Fax

(678) 218-1714

NPI assigned

Nov 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 20, 2020 through Feb 20, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Atlanta Oral & Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1992738165
  NPD (past)
• Metamorphosis Medical Group

  • Medical Specialty Clinic/Center
  • Roswell, GA
  • NPI 1538458690
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1477536076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 LOWER ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684058",
            "telephone_number": "770-565-8337",
            "fax_number": "770-509-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 WOODSTOCK RD",
            "address_2": "BLDG 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752199",
            "telephone_number": "678-218-1710",
            "fax_number": "678-218-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "060630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Layne Weil, M.D.
• Renae Elaina Weinick, O.D.
• Steven P Weiniger, D.C.
• Nicole Weinstein, LCSW
• Charles G Weiss, D.C.
• Welcome Medical Center, Inc.
• Wellcare, LLC
• Wellington Healthcare Billing, L.P.
• Wellness for the Ageless Woman, Inc
• Wellness IV Spa & Medical Weight Loss Center

• Gynecology Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.