Dekalb-Gwinnett OB/GYN PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DEKALB-GWINNETT OB/GYN PC

Practice address

4045 Wetherburn Way
Norcross, GA 30092-1893

Phone

(770) 449-8171

Fax

(770) 449-5015

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Joseph L Tate, MDNPI 1821190919

Title

President

Phone

(770) 449-8171

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Joseph L Tate, MD

  • Obstetrics & Gynecology Physician
  • Norcross, GA
  • NPI 1821190919
  NPD (past) Authorized official
• Tia Scott, WHNP-BC, FNP-C

  • Women's Health Nurse Practitioner
  • Memphis, TN
  • NPI 1487943460
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1659482883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WETHERBURN WAY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300921893",
            "telephone_number": "770-449-8171",
            "fax_number": "770-449-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WETHERBURN WAY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300921893",
            "telephone_number": "770-449-8171",
            "fax_number": "770-449-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB-GWINNETT OB/GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-449-8171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boris McGuire Day
• Juliana De Jesus Ferreira Alves, PT, MS
• Mirmon Troi Virgino De Vera, PT
• Joanie D Dean
• Suzanne Kae Decann
• Marcelo Delaserna, PH.D.
• Norberto N Delgado, DDS
• Brooke Nicole Dennis, PT, DPT
• Dental Now Kids LLC
• Dentfirst PC

• Obstetrics & Gynecology Physician in Norcross, GA
• Providers in Norcross, 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 Dec 18, 2013; 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.