Marietta OB GYN Affiliates, P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MARIETTA OB GYN AFFILIATES, P.A.

Practice address

3475 Dallas Hwy SW Ste 410
Marietta, GA 30064-6409

Phone

(770) 422-8505

Fax

(770) 635-9974

NPI assigned

Jul 14, 2006

Last updated

Aug 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn B Smolinski

Title

Administrator

Phone

(770) 422-8505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Marietta OB GYN Affiliates, P.a.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1891710679

  O20040322000858

  Same enrollment

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13157/brand/3/csg/1/fhir/r4

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos I Alarcon, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1568481539
  NPD
• Joy Lynne Ashworth, FNP-C

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1861077745
  NPD
• Hien Thi Doan, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1609253574
  NPD
• Vanessa Frans

  • Physician Assistant
  • Marietta, GA
  • NPI 1184301806
  NPD
• Sheema Khan, M.D.

  • Obstetrics Physician
  • Marietta, GA
  • NPI 1609186360
  NPD
• Vonda L Klein, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1487629655
  NPD
• Michelle Picon, MD

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1578095741

  Single Specialty

  NPD
• Stacy Latrice Sims, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1689838146
  NPD
• Elizabeth R Taghechian, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1821063991
  NPD
• Jennifer Afman, CNM

  • Advanced Practice Midwife
  • Marietta, GA
  • NPI 1942620406
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1508882663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE",
            "address_2": "SUITE 220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601116",
            "telephone_number": "770-422-8505",
            "fax_number": "770-635-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 DALLAS HWY SW STE 410",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646409",
            "telephone_number": "770-422-8505",
            "fax_number": "770-635-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA OB GYN AFFILIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "SMOLINSKI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-422-8505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300020849B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta Neonatology, P.C.
• Marietta Neurology and Headache Center, PC
• Marietta Newborn Care LLC
• Marietta Northside Hospital Services Corp (Marietta Specialty Pharmacy)
• Marietta OB GYN Affiliates 2 LLC
• Marietta OB GYN Affiliates, P.a.
• Marietta Opco, LLC (Tower Road Healthcare and Rehabilitation Center)
• Marietta Operating Company LLC (Roselane Health and Rehabilitation Center)
• Marietta Outpatient Surgery, LTD
• Marietta Pastoral Counseling Center, Inc.

• Obstetrics & Gynecology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.