Atlanta Premier OB/GYN Associates, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

064644 Issued in GA

Legal business name

ATLANTA PREMIER OB/GYN ASSOCIATES, PC

Practice address

764 Memorial Dr SE Ste 101
Atlanta, GA 30316-1573

Phone

(678) 705-4900

Fax

(678) 705-5441

NPI assigned

Jul 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tosha Rogers, D.O.NPI 1649473497

Title

Physician/Owner

Phone

(678) 705-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Tosha Lacresha Rogers, D.O.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1649473497

  Single Specialty

  Medicare reassignment NPD Authorized official
• Tarra Marie Trawick, FNP-BC

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1386144400
  NPD (past)

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1700131836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 MEMORIAL DR SE STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161573",
            "telephone_number": "678-705-4900",
            "fax_number": "678-705-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 MEMORIAL DR SE STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161573",
            "telephone_number": "678-705-4900",
            "fax_number": "678-705-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PREMIER OB/GYN ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-15",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TOSHA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "678-705-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "064644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003100100A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlanta Plastic & Reconstructive Surgery Consultants, PC
• Atlanta Plastic Surgery Group LLC
• Atlanta Plastic Surgery PC
• Atlanta Plastic Surgery Specialists, P.C.
• Atlanta Premier Healthcare LLC
• Atlanta Prep ABA LLC
• Atlanta Primary Care Center, P.C.
• Atlanta Prosper Psychological Services LLC
• Atlanta Prosthetics & Orthotics Therapy Division,LLC
• Atlanta Prosthetics & Orthotics, Inc

• Medical Specialty Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.