Active NPI
Gina C Talbot, MD
- Internal Medicine Physician
- Marietta, GA
National Provider Identifier
1770534125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 047029
- Practice address
- 191 Cherokee St NE
Marietta, GA 30060-1609 - Phone
- (678) 354-3426
- Fax
- (678) 354-3469
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 047029 | GA | Primary |
Addresses
Primary practice location
191 Cherokee St NE
Marietta, GA 30060-1609
Mailing address
191 Cherokee St NE
Marietta, GA 30060-1609
Phone (678) 354-3426
Other practice location 1
790 Church St NE Ste 250
Marietta, GA 30060-8902
Phone (678) 797-8201
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Internal Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
| Wellstar Neurosurgery Services, LLC Dba Wellstar Neurosurgery | Past | Accepting new patients | |
| Wellstar Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
790 Church St NE
Ste 250
Marietta, GA 30060
Phone (678) 797-8200
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1164728770
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1750687463
-
- Neurological Surgery Physician
- Marietta, GA
- NPI 1760798458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1770534125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 CHEROKEE ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601609",
"telephone_number": "678-354-3426",
"fax_number": "678-354-3469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 CHEROKEE ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601609",
"telephone_number": "678-354-3426",
"fax_number": "678-354-3469"
}
],
"practiceLocations": [
{
"address_1": "790 Church St NE Ste 250",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300608902",
"country_code": "US",
"telephone_number": "678-797-8201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALBOT",
"first_name": "GINA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "047029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.