Isis Obstetrics & Gynecology, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

056706 Issued in GA

Legal business name

ISIS OBSTETRICS & GYNECOLOGY, LLC

Practice address

401 S Main St
Suite B8
Alpharetta, GA 30004-1974

Phone

(770) 521-2229

Fax

(770) 521-2231

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Hughan RH Frederick, MDNPI 1295828978

Title

Owner Physician

Phone

(678) 431-4470

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hughan R.H Frederick, M.D.

  • Obstetrics & Gynecology Physician
  • Roswell, GA
  • NPI 1295828978
  Medicare reassignment Care Compare group NPD Authorized official
• Radhika Patel, DO

  • Family Medicine Physician
  • Roswell, GA
  • NPI 1215436845
  Medicare reassignment Care Compare group NPD
• Urania Davis, D.O.

  • Obstetrics & Gynecology Physician
  • Gainesville, GA
  • NPI 1346620960
  Medicare reassignment NPD
• Kathryn G Botelho, CNM

  • Advanced Practice Midwife
  • Alpharetta, GA
  • NPI 1396911319
  NPD (past)
• Avery McKoski

  • Registered Nurse
  • Roswell, GA
  • NPI 1598601171
  NPD (past)
• Jigish G Sheth, DO

  • Obstetrics & Gynecology Physician
  • Roswell, GA
  • NPI 1720002983
  NPD (past)
• Kimberly R Storey, C.N.M

  • Obstetrics Physician
  • Alpharetta, GA
  • NPI 1215073135
  NPD (past)
• Beverly Jean Tanner, CNM

  • Advanced Practice Midwife
  • Gainesville, GA
  • NPI 1982941456
  NPD (past)
• Annie Ladisic Webb, CNM

  • Midwife
  • Sandy Springs, GA
  • NPI 1295322980
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1881768463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BRIERS CHUTE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041187",
            "telephone_number": "678-431-4470",
            "fax_number": "678-566-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "address_2": "SUITE B8",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041974",
            "telephone_number": "770-521-2229",
            "fax_number": "770-521-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIS OBSTETRICS & GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "HUGHAN",
        "authorized_official_middle_name": "RH",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "678-431-4470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "056706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824311960A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.