Individual provider Active NPI

Kristin Ellen Delahanty, MD

  • Obstetrics & Gynecology Physician
  • Alpharetta, GA
National Provider Identifier
1891736351
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50878 Issued in GA
Practice address
11975 Morris Rd Ste 200
Alpharetta, GA 30005-4444
Phone
(770) 751-3600
Fax
(770) 751-3615
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 050878 GA
Obstetrics & Gynecology Physician 207V00000X 50878 GA Primary

Addresses

Primary practice location

11975 Morris Rd Ste 200
Alpharetta, GA 30005-4444

Mailing address

5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-8035

Other practice location 1

2450 Atlanta Hwy,
Suite 103
Cumming, GA 30040
Phone (770) 887-0559

Other identifiers 1

IdentifierTypeStateIssuer
191491148AMedicaidGA

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
I20040929000373 GA Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 1658340393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Women'S Health Group PCGroup PAC ID 1951396639, 61 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (678) 891-6541

5780 Peachtree Dunwoody Rd
Suite 295
Atlanta, GA 30342-1544
Phone (404) 255-0621

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050878GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Northpoint OB GYN 2 LLC Obstetrics & Gynecology Past Accepting new patients
Southern Crescent Womens Health Specialists at Eagle'S Landing Specialist PastSince Aug 13, 2017 Accepting new patients
Peachtree Women'S Clinic 2 LLC Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristin.delahanty@gaa011.digichart.direct-ci.com

Organizations & group practices 4

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 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1891736351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "404-303-8035",
            "fax_number": "404-303-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054444",
            "telephone_number": "770-751-3600",
            "fax_number": "770-751-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Atlanta Hwy,",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "30040",
            "country_code": "US",
            "telephone_number": "770-887-0559",
            "fax_number": "770-887-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAHANTY",
        "first_name": "KRISTIN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "050878",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "50878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191491148A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.