Individual provider Active NPI

Kira Elisabeth Clement

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1679897698
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
84327 Issued in GA
Practice address
275 Collier Rd NW Ste 230
Atlanta, GA 30309-1700
Phone
(404) 352-3616
Fax
(404) 352-2028
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 84327 GA Primary

Addresses

Primary practice location

275 Collier Rd NW Ste 230
Atlanta, GA 30309-1700

Mailing address

275 Collier Rd NW Ste 230
Atlanta, GA 30309-1700
Phone (404) 352-3616

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001187 GA Practitioner - Obstetrics/Gynecology 3971827569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Women'S Heathcare Specialists, LLC 46 clinicians

Practice addresses (Care Compare)

275 Collier NWRD
Atlanta, GA 30309-1700

275 Collier Rd NW
Suite 270
Atlanta, GA 30309-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women'S Heathcare Specialists, LLC Single Specialty CurrentSince Aug 11, 2025 Accepting new patients
Atlanta Women'S Obstetrics & Gynecology, PC Single Specialty CurrentSince Sep 9, 2020 Accepting new patients
Atlanta Women'S Healthcare Specialists 3 LLC Single Specialty Past Accepting new patients

Locations

275 Collier Rd NW
Ste 100B
Atlanta, GA 30309
Phone (404) 352-1235

275 Collier Rd NW
Ste 230
Atlanta, GA 30309
Phone (404) 352-3616

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1679897698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091700",
            "telephone_number": "404-352-3616",
            "fax_number": "404-352-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091700",
            "telephone_number": "404-352-3616",
            "fax_number": "404-352-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "KIRA",
        "middle_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "84327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.