Active NPI
Olga Mason, NP
- Obstetrics & Gynecology Nurse Practitioner
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RN211605
- Practice address
- 2675 N Decatur Rd
Suite 512
Decatur, GA 30033-6131 - Phone
- (404) 508-5012
- Fax
- (404) 508-5560
- NPI assigned
- Oct 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN211605 | GA | Primary |
Addresses
Primary practice location
2675 N Decatur Rd
Suite 512
Decatur, GA 30033-6131
Mailing address
2675 N Decatur Rd
Ste 512
Decatur, GA 30033-6134
Phone (404) 508-5014
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Dekalb Women'S Specialists 2 LLC | Past | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Dekalb Women'S Specialists | Past | Accepting new patients | |
| Dekalb Women'S Specialists | Past | Accepting new patients |
Locations
4550 Cobb Parkway North NW
Ste 301
Acworth, GA 30101
Phone (678) 574-3135
1120 Wellstar Way
Ste 304
Holly Springs, GA 30114
Phone (678) 445-5941
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
699 Church St NE
Ste 500
Marietta, GA 30060
Phone (770) 424-7100
120 Stonebridge Pkwy
Ste 210
Woodstock, GA 30189
Phone (678) 445-5941
Interoperability endpoints
- omason134364@directwellstar.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Surgery Physician
- Douglasville, GA
- NPI 1164715132
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Obstetrics & Gynecology Physician
- Lithonia, GA
- NPI 1275845893
-
- Obstetrics & Gynecology Physician
- Stone Mountain, GA
- NPI 1851604995
-
- Obstetrics & Gynecology Physician
- Decatur, GA
- NPI 1366572067
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1619348158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 N DECATUR RD",
"address_2": "STE 512",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336134",
"telephone_number": "404-508-5014",
"fax_number": "404-508-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 N DECATUR RD",
"address_2": "SUITE 512",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336131",
"telephone_number": "404-508-5012",
"fax_number": "404-508-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "OLGA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-09",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "GA",
"license": "RN211605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.