NPIMap

Organization Active NPI

Planned Parenthood Southeast, Inc

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1609829282
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PLANNED PARENTHOOD SOUTHEAST, INC
Practice address
440 Moreland Ave SE
Atlanta, GA 30316-1926
Phone
(404) 688-9305
Fax
(404) 688-0621
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Mrs. Samantha Denise Gaganis
Title
Practice Manager
Phone
(404) 688-9305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

440 Moreland Ave SE
Atlanta, GA 30316-1926

Mailing address

241 Peachtree St NE Ste 400
Atlanta, GA 30303-1423
Phone (404) 688-9300

Other practice location 1

720 E 71st St Ste 400
Savannah, GA 31405-4907
Phone (404) 688-9300

Other practice location 2

798 Lawrenceville Suwanee Rd Ste 300
Lawrenceville, GA 30043-7350
Phone (404) 688-9300

Other practice location 3

220 Cobb Pkwy N Ste 500
Marietta, GA 30062-3580
Phone (404) 688-9300

Other identifiers 3

IdentifierTypeStateIssuer
000052005AMedicaidGA
GA16213OtherSCSOUTH CAROLINA MEDICAID
GA1005OtherSCSOUTH CAROLINA MEDICAID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0258374Planned Parenthood Southeast, Inc220 North Cobb Parkway, Suite 500, Marietta, GA 30062ComplianceSep 26, 2027
11D2027914Planned Parenthood Southeast, Inc720 E 71St Street, Savannah, GA 31405ComplianceMar 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Southeast4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1019 1st Ave N
Birmingham, AL 35203
Phone (205) 322-2121

75 Piedmont Ave NE
Ste 800
Atlanta, GA 30303
Phone (404) 688-9305

241 Peachtree St NE
Ste 400
Atlanta, GA 30303

355 Philip Blvd
Lawrenceville, GA 30046
Phone (404) 688-9300

720 E 71st St
Ste 400
Savannah, GA 31405
Phone (404) 688-9300

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1609829282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PEACHTREE ST NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031423",
            "telephone_number": "404-688-9300",
            "fax_number": "404-688-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MORELAND AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161926",
            "telephone_number": "404-688-9305",
            "fax_number": "404-688-0621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 E 71st St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054907",
            "country_code": "US",
            "telephone_number": "404-688-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "798 Lawrenceville Suwanee Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300437350",
            "country_code": "US",
            "telephone_number": "404-688-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Cobb Pkwy N Ste 500",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300623580",
            "country_code": "US",
            "telephone_number": "404-688-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SOUTHEAST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "GAGANIS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-688-9305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052005A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAID",
            "identifier": "GA16213",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAID",
            "identifier": "GA1005",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.