MARIETTA OB GYN AFFILIATES, P.A. (NPI# 1891710679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891710679 |
| Entity Type | Organization |
| Organization Name | MARIETTA OB GYN AFFILIATES, P.A. |
| Practice Address |
699 Church St Ne Ste 220 Marietta GA 30060-1116 |
| Practice Telephone | 7704228509 |
| Practice Fax Number | 7704247449 |
| Mailing Telephone | 7704228509 |
| Mailing Fax Number | 7704247449 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | MS. MARILYN B SMOLINSKI (ADMINISTRATOR) |
| Authorized Official Telephone | 7704228505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300020849B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508882663 | Marietta Ob Gyn Affiliates, P.a. | Obstetrics & Gynecology | 3475 Dallas Hwy Sw Ste 410, Marietta, GA 30064-6409 | 2006-07-14 |
| Street Address |
699 CHURCH ST NE STE 220 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688051 | Patrick Melder | Otolaryngology | 699 Church St Ne, Ste 340, Marietta, GA 30060 | 2005-06-02 |
| 1891160917 | Julia Huntington Cook | Advanced Practice Midwife | 699 Church St Ne, Suite 300, Marietta, GA 30060-1110 | 2015-12-01 |
| 1598139396 | Danette Lynn Murner | Advanced Practice Midwife | 699 Church St Ne, Suite 300, Marietta, GA 30060-1110 | 2015-11-18 |
| 1922400514 | Leah Peacock | Nurse Practitioner | 699 Church St Ne, Suite 300, Marietta, GA 30060-1110 | 2014-09-25 |
| 1740697465 | Nicole Shields | Audiologist | 699 Church St Ne, Suite 340, Marietta, GA 30060-1110 | 2014-07-15 |
| 1659610731 | Barbara E Oess | Nurse Practitioner | 699 Church St Ne, Marietta, GA 30060-1110 | 2013-02-08 |
| 1902183742 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 699 Church St Ne, Suite 240, Marietta, GA 30060-1110 | 2011-11-08 |
| 1245539378 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 699 Church St Ne, Suite 500, Marietta, GA 30060-1110 | 2011-03-15 |
| 1538465596 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 699 Church St Ne, Suite 500, Marietta, GA 30060-1110 | 2011-02-08 |
| 1609186360 | Sheema Khan | Obstetrics & Gynecology | 699 Church St Ne, Ste 220, Marietta, GA 30060-1116 | 2010-10-15 |
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| 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 |
| 1366610297 | Natalie Needham | Obstetrics & Gynecology | 699 Church St Ne Ste 300, Marietta, GA 30060-1122 | 2008-02-13 |
| 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 |
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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.