Individual provider Active NPI

Wendy S Giles, M.D.

  • Gynecology Physician
  • Marietta, GA
National Provider Identifier
1982776241
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
33091 Issued in GA
Practice address
140 Vann St NE
Ste 310
Marietta, GA 30060-8963
Phone
(678) 401-2403
Fax
(678) 401-2354
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 33091 GA Primary

Addresses

Primary practice location

140 Vann St NE
Ste 310
Marietta, GA 30060-8963

Mailing address

140 Vann St NE
Ste 310
Marietta, GA 30060-8963
Phone (678) 401-2403

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
I20050513000465 GA Practitioner - Obstetrics/Gynecology 3072554708

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33091GAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Wendy Giles CurrentSince Jun 1, 2005 Accepting new patients
Easton Radiology Associates, P.C. Past Accepting new patients
Easton Radiology Associates, P.C. Past Accepting new patients

Locations

140 Vann St NE
Ste 310
Marietta, GA 30060
Phone (678) 401-2403

Organizations & group practices 3

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1982776241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 VANN ST NE",
            "address_2": "STE 310",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608963",
            "telephone_number": "678-401-2403",
            "fax_number": "678-401-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 VANN ST NE",
            "address_2": "STE 310",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608963",
            "telephone_number": "678-401-2403",
            "fax_number": "678-401-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "WENDY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "33091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.