Individual provider Active NPI

Kristen Elsa Cain, MD

  • Reproductive Endocrinology Physician
  • Atlanta, GA
National Provider Identifier
1932185451
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
87604 Issued in GA
Practice address
3005 Peachtree Rd #100 Kindbody
Atlanta, GA 30305
Phone
(855) 563-2639
Fax
(470) 468-9357
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 29348 WV
Reproductive Endocrinology Physician 207VE0102X 55231 MN
Reproductive Endocrinology Physician 207VE0102X MD.47729 AL
Reproductive Endocrinology Physician 207VE0102X 2019-02577 NC
Reproductive Endocrinology Physician 207VE0102X 12186 ND
Reproductive Endocrinology Physician 207VE0102X ME148460 FL
Reproductive Endocrinology Physician 207VE0102X 91155 SC
Reproductive Endocrinology Physician 207VE0102X 69044 TN
Reproductive Endocrinology Physician 207VE0102X 87604 GA Primary
Reproductive Endocrinology Physician 207VE0102X MD210011593 DC
Reproductive Endocrinology Physician 207VE0102X 58564 KY
Reproductive Endocrinology Physician 207VE0102X E-16411 AR

Addresses

Primary practice location

3005 Peachtree Rd #100 Kindbody
Atlanta, GA 30305

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

3141 NE 1st Ave.
Miami, FL 33137
Phone (305) 735-2307

Other names 1

  • Dr. Kristen Elsa Smith Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.47729ALMDReproductive Endocrinology Physician
E-16411ARMDReproductive Endocrinology Physician
MD210011593DCMDReproductive Endocrinology Physician
ME148460FLMDReproductive Endocrinology Physician
87604GAMDReproductive Endocrinology Physician
58564KYMDReproductive Endocrinology Physician
55231MNMDReproductive Endocrinology Physician
2019-02577NCMDReproductive Endocrinology Physician
12186NDMDReproductive Endocrinology Physician
91155SCMDReproductive Endocrinology Physician
69044TNMDReproductive Endocrinology Physician
29348WVMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach State Medical Practice, PC Reproductive Endocrinology Past Accepting new patients
Peach State Medical Practice, PC Reproductive Endocrinology Past Accepting new patients
Peach State Medical Practice, PC Reproductive Endocrinology Past Accepting new patients
Peach State Medical Practice, PC Reproductive Endocrinology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1932185451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 PEACHTREE RD #100 KINDBODY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "855-563-2639",
            "fax_number": "470-468-9357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 NE 1st Ave.",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33137",
            "country_code": "US",
            "telephone_number": "305-735-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "KRISTEN",
        "middle_name": "ELSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WV",
            "license": "29348",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MN",
            "license": "55231",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AL",
            "license": "MD.47729",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "2019-02577",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "ND",
            "license": "12186",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME148460",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "SC",
            "license": "91155",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TN",
            "license": "69044",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "GA",
            "license": "87604",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "DC",
            "license": "MD210011593",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "KY",
            "license": "58564",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AR",
            "license": "E-16411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SMITH",
            "middle_name": "ELSA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.