Active NPI
Elizabeth A Street, MD
- Obstetrics & Gynecology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 032307
- Practice address
- 574 Church St NE
Marietta, GA 30060-1358 - Phone
- (770) 427-0285
- Fax
- (770) 424-5037
- NPI assigned
- Oct 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 032307 | GA | Primary |
Addresses
Primary practice location
574 Church St NE
Marietta, GA 30060-1358
Mailing address
574 Church St NE
Marietta, GA 30060-1358
Phone (770) 427-0285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00743322A | Medicaid | GA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Emory University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
574 Church St NE
Marietta, GA 30060-1358
Phone (770) 427-0285
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Paulding Medical Center
- Northside Hospital
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 84.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Unified Women'S Care of Georgia, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womencare PA | Past | Accepting new patients | |
| Alice M. Shin, MD, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
574 Church St NE
Marietta, GA 30060
Phone (770) 427-0285
980 Johnson Fy Rd NE
Ste 720
Sandy Springs, GA 30342
Phone (404) 252-3898
Interoperability endpoints
- elizabeth.street.1@5518.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1578812012
-
- Obstetrics & Gynecology Physician
- Marietta, GA
- NPI 1437332657
-
- Specialist
- Orlando, FL
- NPI 1366529042
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1841288503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "574 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601358",
"telephone_number": "770-427-0285",
"fax_number": "770-424-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "574 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601358",
"telephone_number": "770-427-0285",
"fax_number": "770-424-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-07",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "032307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00743322A",
"state": "GA"
}
],
"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 Nov 17, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.