Genesis Birth Concepts Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GENESIS BIRTH CONCEPTS INC.

Practice address

2788 Bayard St Ste 100
Atlanta, GA 30344-3440

Phone

(404) 218-9496

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Tiara Mack, FNP

Title

NP

Phone

(404) 291-8028

Specialties & licenses 2

Addresses

Other names 1

• Genesis Birth Concepts Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Genesis Women'S Health & Midwifery Center LLC

  • Birthing Clinic/Center
  • Atlanta, GA
  • NPI 1871346676
  NPPES parent name

Practitioners 2

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

• Lynette L Allen-Pye, CNM

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1760585111
  Medicare reassignment NPD
• Marsha Denise Ford, CNM

  • Advanced Practice Midwife
  • East Point, GA
  • NPI 1730246836
  NPD (past)

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1639948722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 BAYARD ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443441",
            "telephone_number": "404-291-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2788 BAYARD ST STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303443440",
            "telephone_number": "404-218-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS BIRTH CONCEPTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "404-291-8028",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Birth Concepts Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Genesis Birth Concepts Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Genesis Sports Medicine and Rehabilitation, LLC
• Genesis Women'S Diagnostic Center
• Genesis Women'S Health & Midwifery Center LLC

• Obstetrics & Gynecology Physician in Atlanta, GA
• Providers in Atlanta, 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 Mar 17, 2025; 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.