Individual provider Active NPI

James Charles Knoer, M.D.

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1720027063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
057714 Issued in GA
Practice address
315 Winn Way
Decatur, GA 30030-2111
Phone
(404) 299-9724
Fax
(215) 829-3701
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD-069018-L PA
Obstetrics & Gynecology Physician 207V00000X 057714 GA Primary

Addresses

Primary practice location

315 Winn Way
Decatur, GA 30030-2111

Mailing address

567 Cleburne Ter NE
Atlanta, GA 30307-1421
Phone (404) 584-6696

Other identifiers 3

IdentifierTypeStateIssuer
2896326OtherPAAETNA
3741237-001OtherPACIGNA
001904531001MedicaidPA

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
I20060727000128 GA Practitioner - Obstetrics/Gynecology 4082694930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Women'S Heathcare Specialists, LLCGroup PAC ID 0345246021, 46 clinicians

Practice addresses (Care Compare)

275 Collier NWRD
Suite 250
Atlanta, GA 30309-1701
Phone (404) 355-1285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057714GAMDObstetrics & Gynecology Physician
MD-069018-LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women'S Heathcare Specialists, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2007 Accepting new patients
Atlanta Women'S Healthcare Specialists 3 LLC Obstetrics & Gynecology Past Accepting new patients

Locations

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

3020 Paces Mill Rd SE
Ste 225
Atlanta, GA 30339

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

275 Collier Rd NW
Ste 250
Atlanta, GA 30309
Phone (404) 355-1285

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720027063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 CLEBURNE TER NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071421",
            "telephone_number": "404-584-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302111",
            "telephone_number": "404-299-9724",
            "fax_number": "215-829-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOER",
        "first_name": "JAMES",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD-069018-L",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "057714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2896326",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3741237-001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001904531001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.