Indu Stacey Anand, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Marietta, GA
NPI 1790773695 · NPPES record last updated Mar 23, 2017
Key facts
- NPI
- 1790773695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 045698 (GA)
- Practice address
- 4800 Olde Towne Pkwy
Suite 150
Marietta, GA 30068-4357 - Phone
- (770) 977-1510
- Fax
- (770) 509-8858
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Wake Forest University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanta Women'S Health Group PC
Practice addresses (Care Compare)
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (678) 891-6541
1800 Peachtree St NW
Suite 455
Atlanta, GA 30309-2520
Phone (404) 419-4400
4800 Olde Towne Pkwy
Suite 350
Marietta, GA 30068-4396
Phone (770) 977-1510
5780 Peachtree Dunwoody Rd
Atlanta, GA 30342-1513
5780 Peachtree Dunwoody Rd
Suite 295
Atlanta, GA 30342-1544
Phone (404) 255-0621
Hospital & facility affiliations
- Northside Hospital
- Saint Joseph'S Hospital of Atlanta, Inc
- Wellstar Windy Hill Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623000147 | GA | Practitioner - Obstetrics/Gynecology | 3971588435 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045698 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Women'S Health Group, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Atlanta Women'S Health Group, P.C. | Current |
Accepting new patients | |
| Northside Urgent Care Holding, LLC | Past | Accepting new patients | |
| Northside Northpoint OB GYN 2 LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3905 Brookside Pkwy
Ste 102
Alpharetta, GA 30022
Phone (470) 394-2657
1800 Peachtree St NW
Ste 455
Atlanta, GA 30309
Phone (404) 419-4400
1505 Northside Blvd
Ste 2400
Cumming, GA 30041
Phone (770) 292-3490
4800 Olde Towne Pkwy
Ste 350
Marietta, GA 30068
Phone (470) 407-2407
5780 Peachtree Dunwoody Rd
Ste 175
Sandy Springs, GA 30342
Phone (678) 651-2840
5780 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-1137
5780 Peachtree Dunwoody Rd
Ste 195
Sandy Springs, GA 30342
Phone (770) 544-2226
5780 Peachtree Dunwoody Rd
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-0621
5780 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (404) 255-0621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 045698 | GA | Yes |
Addresses
Primary practice location
4800 Olde Towne Pkwy
Suite 150
Marietta, GA 30068-4357
Mailing address
5780 Peachtree Dunwoody Road
Suite 300
Atlanta, GA 30342-1513
Phone (404) 303-1224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 547515650A | Medicaid | GA | |
| 547515650B | Medicaid | GA | |
| 547515650C | Medicaid | GA |
Other providers in Marietta, GA
- Amity Care, LLC
- Amore Group, Inc.
- Jason Lee Amos
- Ampt
- Yvonne Yvette Amstutz
- Nithi S Anand
- Usha Anand
- Rosita Ganeshbabu Ananthu
- Nikhita Ananthula
- Sherlyne O Anatole
All providers in Marietta, GA · Obstetrics & Gynecology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.