Pediatrix Medical Group of Georgia, P.C.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

PEDIATRIX MEDICAL GROUP OF GEORGIA, P.C.

Doing business as

Atlanta Maternal-Fetal Medicine an affiliate of Obstetrix Medical Grou

Practice address

1301 Concord Ter
Sunrise, FL 33323-2843

Phone

(954) 384-0175

Fax

(954) 851-1948

NPI assigned

Sep 28, 2006

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Dwyer

Title

Assistant Secretary

Phone

(954) 384-0175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlanta Maternal-Fetal Medicine an affiliate of Obstetrix Medical Grou Doing business as

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.

• Pediatrix Medical Group of Georgia, P.C.

  dba Pediatrix Medical Group of Central Georgia

  • Neonatal-Perinatal Medicine Physician
  • Sunrise, FL
  • NPI 1295827574

  O20040728000431

  Same enrollment

Locations

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bimbola Arotiba, M.D.

  • Obstetrics & Gynecology Physician
  • Snellville, GA
  • NPI 1184943946
  NPD
• Summer Joy Okimoto, CNM

  • Advanced Practice Midwife
  • Marietta, GA
  • NPI 1710299862
  NPD
• Monique Sutherland

  • Maternal & Fetal Medicine Physician
  • Shenandoah, TX
  • NPI 1376962894
  NPD
• Kathy Zhang-Rutledge

  • Maternal & Fetal Medicine Physician
  • Houston, TX
  • NPI 1467871376
  NPD
• Kristen Elizabeth White, WHNP

  • Women's Health Nurse Practitioner
  • Tampa, FL
  • NPI 1952007155
  NPD (past)
• Nirja Acharya, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Decatur, GA
  • NPI 1306295027
  NPD (past)
• Thomas Vincent Adamkiewicz, MD

  • Pediatrics Physician
  • Chamblee, GA
  • NPI 1750381612
  NPD (past)
• Selena Anthony, WHNP-BC, FNP-C

  • Women's Health Nurse Practitioner
  • Austell, GA
  • NPI 1144648528
  NPD (past)
• Raj Kumar Bansal, MD

  • Maternal & Fetal Medicine Physician
  • Lithia Springs, GA
  • NPI 1386617603
  NPD (past)
• Holley Elizabeth Beam, MD

  • Pediatrics Physician
  • Carrollton, GA
  • NPI 1972821148
  NPD (past)
• Albert Vincent Brawley, MD

  • Neonatal-Perinatal Medicine Physician
  • Augusta, GA
  • NPI 1134181548
  NPD (past)
• Melinda Hope Brown, NNP-BC

  • Neonatal Nurse Practitioner
  • Gainesville, GA
  • NPI 1740616168
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1972695260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SAWGRASS CORPORATE PARKWAY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839",
            "fax_number": "954-851-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "954-384-0175",
            "fax_number": "954-851-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP OF GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "954-384-0175",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300041899A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Maternal-Fetal Medicine an affiliate of Obstetrix Medical Grou",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlanta Maternal-Fetal Medicine an affiliate of Obstetrix Medical Grou",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatrix Medical Group of Alabama, Inc.
• Pediatrix Medical Group of California, a Professional Corp
• Pediatrix Medical Group of California, a Professional Corporation
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Georgia, P.C. (Pediatrix Medical Group of Central Georgia)
• Pediatrix Medical Group of Michigan PC
• Pediatrix Medical Group of Montana, PC
• Pediatrix Medical Group of North Carolina PC
• Pediatrix Medical Group of South Carolina PA
• Pediatrix Medical Group, Inc.

• Maternal & Fetal Medicine Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Maternal & Fetal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.