Individual provider Active NPI

Andrea J Murray-Stephens, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1477699569
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
049716 Issued in GA
Practice address
868 York Ave SW
Atlanta, GA 30310-2750
Phone
(404) 752-1400
Fax
(404) 758-0740
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 049716 GA Primary

Addresses

Primary practice location

868 York Ave SW
Atlanta, GA 30310-2750

Mailing address

868 York Ave SW
Atlanta, GA 30310-2750
Phone (404) 752-1400

Other identifiers 1

IdentifierTypeStateIssuer
724893729AMedicaidGA

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
I20040309001325 GA Practitioner - Obstetrics/Gynecology 5991693079 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Health Centers of Georgia, Inc Current Accepting new patients
DHP of Piedmont PC Obstetrics & Gynecology CurrentSince Nov 1, 2015 Accepting new patients
The Family Health Centers of Georgia, Inc CurrentSince Aug 30, 2014 Accepting new patients
The Family Health Centers of Georgia, Inc CurrentSince Aug 30, 2014 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Camille Davis-William MD PC PastSince Jan 1, 1990 Accepting new patients

Locations

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

868 York Ave SW
Atlanta, GA 30310

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

Organizations & group practices 7

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1477699569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 YORK AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102750",
            "telephone_number": "404-752-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 YORK AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102750",
            "telephone_number": "404-752-1400",
            "fax_number": "404-758-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY-STEPHENS",
        "first_name": "ANDREA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "049716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724893729A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.