Marietta OB GYN Affiliates, P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MARIETTA OB GYN AFFILIATES, P.A.

Practice address

699 Church St NE
Ste 220
Marietta, GA 30060-1116

Phone

(770) 422-8509

Fax

(770) 424-7449

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn B Smolinski

Title

Administrator

Phone

(770) 422-8505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Marietta OB GYN Affiliates, P.a.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1508882663

  O20040322000858

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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

• Carlos I Alarcon, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1568481539
  Medicare reassignment Care Compare group NPD
• Hien Thi Doan, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1609253574
  Medicare reassignment Care Compare group NPD
• Sheema Khan, M.D.

  • Obstetrics Physician
  • Marietta, GA
  • NPI 1609186360
  Medicare reassignment Care Compare group NPD
• Stacy Latrice Sims, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1689838146
  Medicare reassignment Care Compare group NPD
• Elizabeth R Taghechian, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1821063991
  Medicare reassignment Care Compare group NPD
• Joy Lynne Ashworth, FNP-C

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1861077745
  Medicare reassignment NPD
• Vanessa Frans

  • Physician Assistant
  • Marietta, GA
  • NPI 1184301806
  Medicare reassignment NPD
• Vonda L Klein, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1487629655
  Medicare reassignment NPD
• Michelle Picon, MD

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1578095741

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1891710679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE",
            "address_2": "STE 220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601116",
            "telephone_number": "770-422-8509",
            "fax_number": "770-424-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE",
            "address_2": "STE 220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601116",
            "telephone_number": "770-422-8509",
            "fax_number": "770-424-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA OB GYN AFFILIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "SMOLINSKI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-422-8505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300020849B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta Neurology and Headache Center, PC
• Marietta Newborn Care LLC
• Marietta Northside Hospital Services Corp
• Marietta OB GYN Affiliates 2 LLC
• Marietta OB GYN Affiliates, P.a.
• Marietta Opco, LLC
• Marietta Operating Company LLC
• Marietta Outpatient Surgery, LTD
• Marietta Pastoral Counseling Center, Inc.
• Marietta Physical Rehab, L.L.C.

• Obstetrics & Gynecology Physician in Marietta, GA
• Providers in Marietta, 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 Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.