NPIMap

Organization Active NPI

Marietta Neonatology, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Marietta, GA
National Provider Identifier
1679730501
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
MARIETTA NEONATOLOGY, P.C.
Practice address
800 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-1051
Phone
(770) 427-4800
Fax
(770) 427-3610
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Ms. Joyce C Bracy
Title
Office Manager
Phone
(770) 427-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X Primary

Addresses

Primary practice location

800 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-1051

Mailing address

PO Box 4214
Marietta, GA 30061-4214
Phone (770) 427-4800

National Provider Directory

National Provider Directory

Locations

800 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (706) 272-6490

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1679730501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4214",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300614214",
            "telephone_number": "770-427-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENNESAW AVE NW",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601051",
            "telephone_number": "770-427-4800",
            "fax_number": "770-427-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA NEONATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BRACY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-427-4800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.