Individual provider Active NPI

Amy Marie Rodatus, MD

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1851559983
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
072648 Issued in GA
Practice address
2801 N Decatur Rd Ste 190
Decatur, GA 30033-5924
Phone
(404) 299-9307
Fax
(404) 299-9309
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101246001 VA
Obstetrics & Gynecology Physician 207V00000X 072648 GA Primary

Addresses

Primary practice location

2801 N Decatur Rd Ste 190
Decatur, GA 30033-5924

Mailing address

2801 N Decatur Rd Ste 190
Decatur, GA 30033-5924
Phone (404) 564-2515

Other practice location 1

1805 Parke Plaza Cir Ste 102
Stone Mountain, GA 30087-3646
Phone (770) 469-9961

Other identifiers 1

IdentifierTypeStateIssuer
003150520AMedicaidGA

Other names 1

  • Dr. Amy Marie Allgire Former name

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
I20150505000148 GA Practitioner - Obstetrics/Gynecology 0749509289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GYN and OB of Dekalb, P.C.Group PAC ID 3476605841, 6 clinicians

Practice addresses (Care Compare)

2801 N Decatur Rd
Suite 190
Decatur, GA 30033-5958
Phone (404) 299-9307

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101246001VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GYN & OB of Dekalb, P.C. Obstetrics & Gynecology CurrentSince Dec 11, 2017 Accepting new patients
Dekalb Medical Psych Unit Past Accepting new patients
Dekalb Medical Center, Inc. Past Accepting new patients

Locations

2801 N Decatur Rd
Ste 190
Decatur, GA 30033
Phone (404) 292-8899

1805 Parke Plaza Cir
Ste 102
Stone Mountain, GA 30087
Phone (770) 469-9661

Organizations & group practices 3

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 1

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851559983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 190",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335924",
            "telephone_number": "404-564-2515",
            "fax_number": "404-564-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 190",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335924",
            "telephone_number": "404-299-9307",
            "fax_number": "404-299-9309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Parke Plaza Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873646",
            "country_code": "US",
            "telephone_number": "770-469-9961",
            "fax_number": "770-413-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODATUS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101246001",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "072648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150520A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ALLGIRE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.