Active NPI
Stephen Kyle Gonzales, D.O.
- Obstetrics & Gynecology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 073180
- Practice address
- 69 Jesse Hill Jr Dr SE
4TH Floor - Maternal Fetal Medicine
Atlanta, GA 30303-3033 - Phone
- (404) 778-3401
- NPI assigned
- May 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 073180 | GA | Primary |
Addresses
Primary practice location
69 Jesse Hill Jr Dr SE
4TH Floor - Maternal Fetal Medicine
Atlanta, GA 30303-3033
Mailing address
69 Jesse Hill Jr Dr SE
4TH Floor - Maternal Fetal Medicine
Atlanta, GA 30303-3033
Phone (404) 778-3401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lincoln Memorial University Medical Department, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
902 McCallie Ave
Chattanooga, TN 37403-2724
Phone (423) 664-4460
975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 664-4460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Past | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Past | Accepting new patients | |
| Erlanger Health | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
69 Jesse Hill Jr Dr SE
Fl 4
Atlanta, GA 30303
Phone (404) 251-8801
157 Clinic Ave
Ste 302A
Carrollton, GA 30117
Phone (770) 812-5886
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
690 Dallas Hwy
Ste 301
Villa Rica, GA 30180
Phone (770) 456-3850
Interoperability endpoints
- sgonzales@roc.gwaydirect.com
Organizations & group practices 9
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.
-
- Maternal & Fetal Medicine Physician
- Chattanooga, TN
- NPI 1861485146
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
Obstetrics & Gynecology
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1114183779
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1407034028
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1639264575
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1487947305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 JESSE HILL JR DR SE",
"address_2": "4TH FLOOR - MATERNAL FETAL MEDICINE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033033",
"telephone_number": "404-778-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 JESSE HILL JR DR SE",
"address_2": "4TH FLOOR - MATERNAL FETAL MEDICINE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033033",
"telephone_number": "404-778-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "STEPHEN",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "073180",
"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 Jul 14, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.