Individual provider Active NPI

Aaron Michael Doctor

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1982163754
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
95904 Issued in GA
Practice address
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Phone
(404) 688-1350
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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 95904 GA Primary

Addresses

Primary practice location

1046 Ridge Ave SW
Atlanta, GA 30315-1640

Mailing address

437 E Ontario Ave SW
Atlanta, GA 30310-1505
Phone (843) 476-6008

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
I20230814001832 GA Practitioner - Obstetrics/Gynecology 7618339276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Womens Group LLCGroup PAC ID 5991241135, 23 clinicians
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

3400 Old Milton Pkwy
Suite A300
Alpharetta, GA 30005-3744
Phone (404) 255-2057

980 Johnson Ferry Rd
Suite 620
Atlanta, GA 30342-1608
Phone (404) 255-2057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Womens Group LLC Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Southside Medical Center, Inc. CurrentSince Jul 7, 2023 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Northside Womens Group LLC Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Southside Medical Center, Inc CurrentSince Jul 7, 2023 Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste A300
Alpharetta, GA 30005
Phone (404) 255-2057

1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

980 Johnson Fy Rd NE
Ste 620
Sandy Springs, GA 30342
Phone (404) 252-9751

Organizations & group practices 7

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1982163754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 E ONTARIO AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101505",
            "telephone_number": "843-476-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 RIDGE AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151640",
            "telephone_number": "404-688-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "95904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.