DEKALB-GWINNETT OB/GYN PC (NPI# 1659482883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659482883 |
| Entity Type | Organization |
| Organization Name | DEKALB-GWINNETT OB/GYN PC |
| Practice Address |
4045 Wetherburn Way Norcross GA 30092-1893 |
| Practice Telephone | 7704498171 |
| Practice Fax Number | 7704495015 |
| Mailing Telephone | 7704498171 |
| Mailing Fax Number | 7704495015 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | JOSEPH L TATE (PRESIDENT) |
| Authorized Official Telephone | 7704498171 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4045 WETHERBURN WAY |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164772042 | Peachtree Corners Eye Clinic | Optometrist | 4045 Wetherburn Way, Suite, Norcross, GA 30092-4661 | 2012-09-18 |
| 1487943460 | Tia Scott | Nurse Practitioner | 4045 Wetherburn Way, Norcross, GA 30092-4661 | 2011-03-30 |
| 1568507838 | Richard J Shuster | Optometrist | 4045 Wetherburn Way, Suite 1, Norcross, GA 30092-1893 | 2007-02-21 |
| 1821190919 | Joseph L Tate | Obstetrics & Gynecology | 4045 Wetherburn Way, Norcross, GA 30092-1893 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707783 | One Health Research Clinic Atlanta LLC | Obstetrics & Gynecology | 5880 Live Oak Pkwy Ste 160, Norcross, GA 30093-1742 | 2019-08-29 |
| 1255865465 | Michelle Chevalier | Obstetrics & Gynecology | 4864 Jimmy Carter Blvd, #203, Norcross, GA 30093-3701 | 2017-04-13 |
| 1376895946 | Nicholas Kongoasa | Obstetrics & Gynecology | 3957 Holcomb Bridge Rd Ste 100, Norcross, GA 30092 | 2012-10-08 |
| 1467745356 | Cota Medical Management | Obstetrics & Gynecology | 5050 Jimmy Carter Blvd, Suite 250, Norcross, GA 30093-2711 | 2011-05-25 |
| 1427100114 | Sylvia Clayton Johnson | Obstetrics & Gynecology | 4028 Holcomb Bridge Rd, Norcross, GA 30092-4655 | 2007-01-16 |
| 1568511301 | Jong K Song | Obstetrics & Gynecology | 6185 Buford Hwy Bldg G, Norcross, GA 30071 | 2007-01-10 |
| 1275690604 | Northlake Obstetrics and Gynecology, PC | Obstetrics & Gynecology | 3957 Holcomb Bridge Rd., Suite 100, Norcross, GA 30092 | 2007-01-03 |
| 1508851924 | Neale P Freeman | Obstetrics & Gynecology | 5395 Jimmy Carter Blvd, Suite 500, Norcross, GA 30093-1502 | 2005-09-12 |
| 1417241399 | Tressa Scineaux | Obstetrics & Gynecology | 5720 Buford Hwy, Suite 102, Norcross, GA 30071-2577 | 2011-06-08 |
| 1225287915 | Georgia Center for Female Health LLC | Obstetrics & Gynecology | 4775 Jimmy Carter Blvd, Ste 300, Norcross, GA 30093-3760 | 2008-09-17 |
| Find all providers in NORCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.