Natu Naomi Mmbaga, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

73926 Issued in GA

Practice address

10692 Medlock Bridge Rd Ste 100a
Johns Creek, GA 30097-8497

Phone

(404) 446-2496

NPI assigned

Jun 16, 2009

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmmbaga@reyesobgyn.com

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.

• Modern Obstetrics and Gynecology of North Atlanta PC

  • Obstetrics & Gynecology Physician
  • Johns Creek, GA
  • NPI 1669784252

  Single Specialty

  Medicare reassignment NPD
• North Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1457716516

  Single Specialty

  NPD (past)
• Caring for Women Inc

  • Gynecology Physician
  • Warwick, RI
  • NPI 1356470223

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1770710865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10692 MEDLOCK BRIDGE RD STE 100A",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978497",
            "telephone_number": "404-446-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10692 MEDLOCK BRIDGE RD STE 100A",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978497",
            "telephone_number": "404-446-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MMBAGA",
        "first_name": "NATU",
        "middle_name": "NAOMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2023-09-06",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "73926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drmmbaga@reyesobgyn.com",
            "affiliation": "N",
            "address_1": "10692 Medlock Bridge Rd Ste 100A",
            "city": "Johns Creek",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300978497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mindpath Wellness
• Minimed Distribution Corp.
• Michelza Mitchell
• Wesley Gregory Mitchell Jr., MSA,CSA
• Sarah Miriam Mixson, LMSW
• Modern Obstetrics and Gynecology of North Atlanta PC
• Modern Recovery, Inc. (Virgil- Johns Creek)
• Rachel Moody
• Danielle Moore, LMT
• Brian Edward Morgan, M.D.

• Obstetrics & Gynecology Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.

Verify at the official NPI Registry.