Individual provider Active NPI

Nicole E Quinn, M.D.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
National Provider Identifier
1932464617
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
076422 Issued in GA
Practice address
1267 Highway 54 W Ste 3200
Fayetteville, GA 30214-2111
Phone
(770) 632-9900
Fax
(770) 632-9997
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 076422 GA Primary

Addresses

Primary practice location

1267 Highway 54 W Ste 3200
Fayetteville, GA 30214-2111

Mailing address

1267 Highway 54 W Ste 3200
Fayetteville, GA 30214-2111
Phone (770) 632-9900

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
I20180806001861 GA Practitioner - Obstetrics/Gynecology 9032419726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Fayette Women's SpecialistsGroup PAC ID 6800809435, 6 clinicians

Practice addresses (Care Compare)

1267 Hwy 54 W
Suite 3200
Fayetteville, GA 30214
Phone (770) 632-9900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Peachtree Fayette Women's Specialists Obstetrics & Gynecology CurrentSince Jan 5, 2018 Accepting new patients

Locations

1267 Highway 54 W
Ste 3200
Fayetteville, GA 30214
Phone (770) 632-9900

Interoperability endpoints

  • Direct secure messaging: nquinn50315@direct.metrohealth.org

Organizations & group practices 2

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 1

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1932464617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W STE 3200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142111",
            "telephone_number": "770-632-9900",
            "fax_number": "770-632-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W STE 3200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142111",
            "telephone_number": "770-632-9900",
            "fax_number": "770-632-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "NICOLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "076422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.