Individual provider Active NPI

Nickolas Christos Teigen, M.D.

  • Maternal & Fetal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1508144692
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
79590 Issued in GA
Practice address
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone
(404) 851-8988
NPI assigned
Jul 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 79590 GA Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Mailing address

5780 Peachtree Dunwoody Rd Ste 380
Atlanta, GA 30342-1579
Phone (404) 303-7647

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
I20190824000081 GA Practitioner - General Practice 5092043398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Perinatal GroupGroup PAC ID 6204818420, 2 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79590GAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Perinatal Consultants, LP CurrentSince May 25, 2019 Accepting new patients
Northside Primary Care Professional Services,LLC Past Accepting new patients

Locations

11975 Morris Rd
Ste 1300
Alpharetta, GA 30005

11975 Morris Rd
Ste 130
Alpharetta, GA 30005
Phone (770) 667-4240

77 Collier Rd NW
Ste 3130
Atlanta, GA 30309
Phone (404) 351-3574

1100 W Peachtree St NW
Ste 1000
Atlanta, GA 30309

460 Northside Cherokee Blvd
Ste 340
Canton, GA 30115

1800 Northside Forsyth Dr
Ste 240
Cumming, GA 30041

1279 Highway 54 W
Ste 210
Fayetteville, GA 30214
Phone (770) 719-1299

500 Medical Center Blvd
Ste 130
Lawrenceville, GA 30046
Phone (470) 325-1539

699 Church St NE
Ste 200
Marietta, GA 30060
Phone (770) 424-4488

5780 Peachtree Dunwoody Rd
Ste 380
Sandy Springs, GA 30342
Phone (404) 303-7647

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5780 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (404) 255-0621

Organizations & group practices 2

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": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1508144692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 380",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421579",
            "telephone_number": "404-303-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIGEN",
        "first_name": "NICKOLAS",
        "middle_name": "CHRISTOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-24",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "79590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.