NATALIE NEEDHAM (NPI# 1366610297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366610297 |
| Entity Type | Individual |
| Full Name | NATALIE NEEDHAM |
| Credential | MD |
| Practice Address |
699 Church St Ne Ste 300 Marietta GA 30060-1122 |
| Mailing Address |
495 Taylor Rd Montgomery AL 36117-3513 |
| Practice Telephone | 7704228700 |
| Practice Fax Number | 7704257601 |
| Mailing Telephone | 3372799333 |
| Mailing Fax Number | 3342799381 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | PENDING | GA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 31900 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000143099 | 05 | |
| MEDICARE | 102I160836 | 01 | |
| GA | OPT_OUT | GRP3569 | 01 |
| GA | 300034164A | 05 | |
| LA | 1026069 | 05 |
| Street Address |
699 CHURCH ST NE STE 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871096305 | Ob-gyn Associates of Marietta, LLC | Specialist | 699 Church St Ne Ste 300, Marietta, GA 30060-1122 | 2018-03-12 |
| 1609398155 | Mimi Kim Song | Obstetrics & Gynecology | 699 Church St Ne Ste 300, Marietta, GA 30060-1122 | 2017-07-15 |
| 1063838746 | Christie Marie Tucker | Advanced Practice Midwife | 699 Church St Ne Ste 300, Marietta, GA 30060-1122 | 2014-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1609253574 | Hien Thi Doan | Obstetrics & Gynecology | Marietta Ob-gyn Affiliates, 699 Church Street, Suite 220, Marietta, GA 30060 | 2015-04-29 |
| 1487910501 | Sara Beth Kashuk Morris | Obstetrics & Gynecology | 4800 Olde Towne Pkwy Ste 350, Marietta, GA 30068-4396 | 2012-04-03 |
| 1265735393 | Jerald Jacob Sherman | Obstetrics & Gynecology | 1520 Johnson Ferry Rd, Suite145, Marietta, GA 30062 | 2010-12-12 |
| 1073737680 | Deborah A. Taylor | Obstetrics & Gynecology | 699 Church Street, Suite 500, Marietta, GA 30060 | 2007-04-13 |
| 1801948658 | Atlanta Women's Health Group, P.C. | Obstetrics & Gynecology | 1519 Johnson Ferry Rd, Suite 175, Marietta, GA 30062 | 2007-01-18 |
| 1366517500 | Gary Laurence Smith | Obstetrics & Gynecology | 1230 Johnson Ferry Rd, Suite H-30, Marietta, GA 60068 | 2006-11-22 |
| 1376637314 | Romero Nicholson | Obstetrics & Gynecology | 1355 Church Street Ext Ne, Suite F, Marietta, GA 30060-1099 | 2006-10-03 |
| 1164436788 | Samuel Taylor | Obstetrics & Gynecology | 677 Church St Ne # 125, Marietta, GA 30060 | 2006-07-28 |
| 1972524700 | Michelle Ray Martin | Obstetrics & Gynecology | 2550 Windy Hill Rd Se Ste 106, Marietta, GA 30067-8607 | 2006-07-21 |
| 1508882663 | Marietta Ob Gyn Affiliates, P.a. | Obstetrics & Gynecology | 3475 Dallas Hwy Sw Ste 410, Marietta, GA 30064-6409 | 2006-07-14 |
| Find all providers in MARIETTA | ||||
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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.