Active NPI
Victoria Shuangbai Jiang
- Obstetrics & Gynecology Physician
- Marietta, GA
National Provider Identifier
1922530120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 98260
- Practice address
- 61 Whitcher St NE Ste 4140
Marietta, GA 30060-1179 - Phone
- (678) 540-1098
- NPI assigned
- Mar 28, 2017
- Last updated
- Oct 7, 2024
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 98260 | GA | Primary |
Addresses
Primary practice location
61 Whitcher St NE Ste 4140
Marietta, GA 30060-1179
Mailing address
61 Whitcher St NE Ste 4140
Marietta, GA 30060-1179
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170726004025 | GA | Order and Referring Only - Obstetrics/Gynecology | 5092085845 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98260 | GA | MD | Obstetrics & Gynecology Physician |
| 9195 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Reproductive Specialists, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1922530120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 4140",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 4140",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601179",
"telephone_number": "678-540-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIANG",
"first_name": "VICTORIA",
"middle_name": "SHUANGBAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "98260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.