Active NPI
Amy Marie Rodatus, MD
- Obstetrics & Gynecology Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 072648
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003150520A | Medicaid | GA |
Other names 1
- Dr. Amy Marie Allgire
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
- Mercer University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 N Decatur Rd
Suite 190
Decatur, GA 30033-5958
Phone (404) 299-9307
Hospital & facility affiliations
- Emory Decatur Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101246001 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GYN & OB of Dekalb, P.C. | Obstetrics & Gynecology | Current | 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.
-
- Obstetrics & Gynecology Physician
- Decatur, GA
- NPI 1457598468
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Psychiatric Hospital Unit
- Decatur, GA
- NPI 1821099474
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.