Individual provider Active NPI

Jessica Rachel Kanter, M.D.

  • Reproductive Endocrinology Physician
  • Atlanta, GA
National Provider Identifier
1487069415
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
89565 Issued in GA
Practice address
1100 Lake Hearn Dr Ste 400
Atlanta, GA 30342-5068
Phone
(404) 843-2229
Fax
(404) 843-0812
NPI assigned
Jun 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 89565 GA Primary

Addresses

Primary practice location

1100 Lake Hearn Dr Ste 400
Atlanta, GA 30342-5068

Mailing address

9600 Blackwell Rd Ste 500
Rockville, MD 20850-3783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89565GAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Reproductive Specialists, LLC CurrentSince May 7, 2024 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 100
Alpharetta, GA 30022

61 Whitcher St NE
Ste 4140
Marietta, GA 30060
Phone (404) 943-0289

1100 Lake Hearn Dr
Ste 400
Sandy Springs, GA 30342
Phone (404) 843-2229

9600 Blackwell Rd
Ste 500
Rockville, MD 20850
Phone (301) 340-1188

Organizations & group practices 1

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": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1487069415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783",
            "fax_number": "855-420-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE HEARN DR STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425068",
            "telephone_number": "404-843-2229",
            "fax_number": "404-843-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTER",
        "first_name": "JESSICA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-28",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "GA",
            "license": "89565",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 2, 2024; 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.