Organization Active NPI

Dekalb Gynecology Associates

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1851459622
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DEKALB GYNECOLOGY ASSOCIATES
Practice address
4229 Snap Fingerwoods Drive
Suite a
Decatur, GA 30335
Phone
(404) 288-0746
Fax
(404) 288-0925
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andre D Williams, MDNPI 1356338297
Title
Owner
Phone
(404) 288-0746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4229 Snap Fingerwoods Drive
Suite a
Decatur, GA 30335

Mailing address

4229 Snap Fingerwoods Drive
Suite a
Decatur, GA 30335
Phone (404) 288-0746

National Provider Directory

National Provider Directory

Locations

4229 Snapfinger Woods Dr
Ste A
Decatur, GA 30035
Phone (404) 288-0746

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851459622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 SNAP FINGERWOODS DRIVE",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30335",
            "telephone_number": "404-288-0746",
            "fax_number": "404-288-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 SNAP FINGERWOODS DRIVE",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30335",
            "telephone_number": "404-288-0746",
            "fax_number": "404-288-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB GYNECOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-288-0746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.