Organization Active NPI

Dekalb OBGYN Affiliates LLC

  • Obstetrics & Gynecology Physician
  • Dunwoody, GA
National Provider Identifier
1730564709
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
05869 Issued in GA
Legal business name
DEKALB OBGYN AFFILIATES LLC
Practice address
4480 N Shallowford Rd Ste 200
Dunwoody, GA 30338-6410
Phone
(470) 226-1601
Fax
(470) 225-6345
NPI assigned
Jul 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Shirley Rigaud-Echols, MD
Title
Physician/Ceo
Phone
(470) 226-1601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 05869 GA Primary

Addresses

Primary practice location

4480 N Shallowford Rd Ste 200
Dunwoody, GA 30338-6410

Mailing address

4480 N Shallowford Rd Ste 200
Dunwoody, GA 30338-6410
Phone (470) 226-1601

National Provider Directory

National Provider Directory

Locations

4480 N Shallowford Rd
Ste 20
Atlanta, GA 30338

4480 N Shallowford Rd
#20
Atlanta, GA 30338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11755/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1730564709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 N SHALLOWFORD RD STE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386410",
            "telephone_number": "470-226-1601",
            "fax_number": "470-225-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 N SHALLOWFORD RD STE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386410",
            "telephone_number": "470-226-1601",
            "fax_number": "470-225-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB OBGYN AFFILIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "RIGAUD-ECHOLS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "470-226-1601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "05869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.