Active NPI
John Robert Conatser, M.D.
- Obstetrics & Gynecology Physician
- Atlanta, GA
National Provider Identifier
1598846297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 80795
- Practice address
- 5780 Peachtree Dunwoody Rd Ste 295
Atlanta, GA 30342-1544 - Phone
- (042) 553-6334
- Fax
- (404) 255-7599
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | LL2-8934 | SC | |
| Obstetrics & Gynecology Physician | 207V00000X | 80795 | GA | Primary |
Addresses
Primary practice location
5780 Peachtree Dunwoody Rd Ste 295
Atlanta, GA 30342-1544
Mailing address
5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-8035
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-0001
Phone (843) 792-1414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300034164A | Medicaid | GA | |
| GRP3569 | Other | GA | MEDICARE OPT-OUT |
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
- Opted out of Medicare
- Yes, effective Nov 8, 2018 through Nov 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80795 | GA | MD | Obstetrics & Gynecology Physician |
| LL2-8934 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Northpoint OB GYN 2 LLC | Obstetrics & Gynecology | 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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1023148616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1598846297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421513",
"telephone_number": "404-303-8035",
"fax_number": "404-303-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5780 PEACHTREE DUNWOODY RD STE 295",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421544",
"telephone_number": "042-553-6334",
"fax_number": "404-255-7599"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294250001",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONATSER",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "LL2-8934",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "80795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300034164A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OPT-OUT",
"identifier": "GRP3569",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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- Theresha Compton, LMSW
- Dustin A Comstock
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.