Individual provider Active NPI

Elizabeth A Street, MD

  • Obstetrics & Gynecology Physician
  • Marietta, GA
National Provider Identifier
1841288503
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
032307 Issued in GA
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

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00743322AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000708 GA Practitioner - Obstetrics/Gynecology 6406894252 Reassigns benefits to 1 organization

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
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

574 Church St NE
Marietta, GA 30060-1358
Phone (770) 427-0285

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
Unified Women'S Care of Georgia, LLC Obstetrics & Gynecology CurrentSince Sep 9, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.