Active NPI
Eloisa Llata, M.D.
- Obstetrics Physician
- Atlanta, GA
National Provider Identifier
1649207549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 53930
- Practice address
- 550 Peachtree St.
9TH Floor Mot
Atlanta, GA 30308 - Phone
- (404) 778-3401
- Fax
- (404) 686-4476
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 8, 2007
- 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 Physician | 207VX0000X | 53930 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St.
9TH Floor Mot
Atlanta, GA 30308
Mailing address
864 Commonwealth Ave SE
Atlanta, GA 30312-3662
Phone (404) 624-1044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053930 | GA | MD | Anesthesiology Physician |
| 53930 | GA | MD | Obstetrics Physician |
Interoperability endpoints
- eloisa.llata.1@10414.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649207549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "864 COMMONWEALTH AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123662",
"telephone_number": "404-624-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST.",
"address_2": "9TH FLOOR MOT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30308",
"telephone_number": "404-778-3401",
"fax_number": "404-686-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLATA",
"first_name": "ELOISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "GA",
"license": "53930",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 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.