Individual provider Active NPI

Stephen Kyle Gonzales, D.O.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1487947305
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
073180 Issued in GA
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

Updated by the provider on Jul 14, 2015

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 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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150709000646 GA Practitioner - Obstetrics/Gynecology 3779720719 Reassigns benefits to 3 organizations
I20180814004182 TN Practitioner - Obstetrics/Gynecology 3779720719 Reassigns benefits to 1 organization

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
Regional Obstetrical Consultants PCGroup PAC ID 1153211743, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc Obstetrics & Gynecology CurrentSince Mar 19, 2017 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2015 Accepting new patients
Emory Medical Care Foundation Inc Obstetrics & Gynecology Current Accepting new patients
The Emory Clinic Inc CurrentSince Jul 1, 2015 Accepting new patients
Emory Medical Care Foundation Inc Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients
Chattanooga Hamilton County Hospital Authority PastSince Jul 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.