Active NPI
B Denise Raynor, M.D., MPH
- Maternal & Fetal Medicine Physician
- Atlanta, GA
National Provider Identifier
1871522573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 38925
- Practice address
- 550 Peachtree St NE
Suite 1275
Atlanta, GA 30308-2208 - Phone
- (404) 872-3121
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 38925 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Suite 1275
Atlanta, GA 30308-2208
Mailing address
550 Peachtree St NE,
Suite 1275
Atlanta, GA 30308-2208
Phone (404) 872-3121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000512883L | Medicaid | GA | |
| 000512883M | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38925 | GA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pagemed, LLC | Maternal & Fetal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Maternal & Fetal Medicine Physician
- Macon, GA
- NPI 1619274180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1871522573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE,",
"address_2": "SUITE 1275",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-872-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1275",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-872-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNOR",
"first_name": "B",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "GA",
"license": "38925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000512883L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000512883M",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.