NPIMap

Individual provider Active NPI

Genevieve L Fairbrother, M.D.

  • Obstetrics & Gynecology Physician
  • Suwanee, GA
National Provider Identifier
1760445712
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
037531 Issued in GA
Practice address
3890 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-1284
Phone
(678) 775-2300
Fax
(678) 775-2359
NPI assigned
Apr 10, 2006
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 037531 GA
Obstetrics & Gynecology Physician 207V00000X 037531 GA Primary

Addresses

Primary practice location

3890 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-1284

Mailing address

5780 Peachtree Dunwoody Road
Suite 300
Atlanta, GA 30328-1513
Phone (404) 303-1224

Other identifiers 4

IdentifierTypeStateIssuer
000720486MMedicaidGA
000720486LMedicaidGA
000720486JMedicaidGA
000720486KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090526000431 GA Practitioner - Obstetrics/Gynecology 8325125891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Women's Health Group PCGroup PAC ID 1951396639, 61 clinicians

Practice addresses (Care Compare)

1100 Johnson Fy Rd NE
Suite 800
Atlanta, GA 30342-1708
Phone (404) 252-1137

3890 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-1286
Phone (678) 775-2300

5780 Peachtree Dunwoody Rd
Suite 295
Atlanta, GA 30342-1544
Phone (404) 255-0621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037531GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women's Health Group, P.C. Obstetrics & Gynecology CurrentSince Oct 1, 2007 Accepting new patients
Atlanta Women's Health Group, P.C. Specialist CurrentSince Oct 2, 2019 Accepting new patients
Northside Northpoint OB GYN 2 LLC Obstetrics & Gynecology Past Accepting new patients
Atlanta Women's Health Group, P.C. Obstetrics & Gynecology Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Northside Surgical Professional Services LLC PastSince Apr 1, 2013 Accepting new patients

Locations

1505 Northside Blvd
Ste 2400
Cumming, GA 30041
Phone (770) 292-3490

1100 Johnson Fy Rd NE
Ste 800
Sandy Springs, GA 30342
Phone (404) 252-1137

5780 Peachtree Dunwoody Rd
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-0621

5780 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-1137

975 Johnson Fy Rd NE
Ste 400
Sandy Springs, GA 30342
Phone (404) 252-1137

3890 Johns Creek Pkwy
Ste 300
Suwanee, GA 30024
Phone (678) 775-2300

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northside Hospital ForsythCumming, GA, CCN 110005 Hospital Corporate Director Feb 2, 2013
Northside Hospital AtlantaAtlanta, GA, CCN 110161 Hospital Corporate Director Feb 1, 2013
Northside Hospital CherokeeCanton, GA, CCN 110008 Hospital Corporate Director Feb 2, 2013
Northside Hospital GwinnettLawrenceville, GA, CCN 110087 Hospital Corporate Director Feb 1, 2016
Northside Hospital DuluthDuluth, GA, CCN 110252 Hospital Corporate Director Feb 1, 2016
Northside Hospital IncDuluth, GA, CCN 11T252 Hospital Corporate Director Feb 1, 2016

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1760445712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY ROAD",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281513",
            "telephone_number": "404-303-1224",
            "fax_number": "404-303-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241284",
            "telephone_number": "678-775-2300",
            "fax_number": "678-775-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBROTHER",
        "first_name": "GENEVIEVE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "037531",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "037531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720486M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720486L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720486J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720486K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.