Individual provider Active NPI

Clare Marie Babino

  • Specialist
  • Marietta, GA
National Provider Identifier
1497723860
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
031197 Issued in GA
Practice address
1611 Sands PL SE
Marietta, GA 30067-8785
Phone
(770) 541-2122
Fax
(770) 541-2229
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 031197 GA Primary

Addresses

Primary practice location

1611 Sands PL SE
Marietta, GA 30067-8785

Mailing address

2804 Mitchell Drive
Atlanta, GA 31197
Phone (404) 350-9262

Other names 1

  • Mrs. Clare Marie Nosegbe Other name

Medicare participation

Medicare enrollment files
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 Aug 5, 2021 through Aug 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031197GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland OBGYN Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1497723860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 MITCHELL DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "31197",
            "telephone_number": "404-350-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SANDS PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678785",
            "telephone_number": "770-541-2122",
            "fax_number": "770-541-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABINO",
        "first_name": "CLARE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "031197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARE",
            "last_name": "NOSEGBE",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.