Organization Active NPI

Gynecology Specialists of Atlanta

  • Obstetrics & Gynecology Physician
  • Duluth, GA
National Provider Identifier
1568646255
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
013182 Issued in GA
Legal business name
GYNECOLOGY SPECIALISTS OF ATLANTA
Practice address
3855 Pleasant Hill Rd
Suite 270
Duluth, GA 30096-1407
Phone
(678) 417-6319
Fax
(678) 417-6627
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Robin Kay Brasiel, C.D.T.
Title
Offfice Manager
Phone
(678) 417-6319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 013182 GA Primary

Addresses

Primary practice location

3855 Pleasant Hill Rd
Suite 270
Duluth, GA 30096-1407

Mailing address

3855 Pleasant Hill Rd
Suite 270
Duluth, GA 30096-1407
Phone (678) 417-6319

National Provider Directory

National Provider Directory

Locations

3855 Pleasant Hill Rd
Ste 270
Duluth, GA 30096
Phone (678) 257-7078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1568646255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "SUITE 270",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "678-417-6319",
            "fax_number": "678-417-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "SUITE 270",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "678-417-6319",
            "fax_number": "678-417-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY SPECIALISTS OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "BRASIEL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFFICE MANAGER",
        "authorized_official_telephone_number": "678-417-6319",
        "authorized_official_credential": "C.D.T."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "013182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.