National Provider Identifier Database

ATLANTA PREMIER OBGYN ASSOCIATES PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

ATLANTA PREMIER OB/GYN ASSOCIATES, PC
764 MEMORIAL DR SE STE 101
ATLANTA, GA30316-1573
Phone: 678-705-4900
Fax: 678-705-5441
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for ATLANTA PREMIER OB/GYN ASSOCIATES, PC

NPI Number 1700131836
Legal business name
LBN
ATLANTA PREMIER OB/GYN ASSOCIATES, PC
Authorized official TOSHA ROGERS - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/15/2012
Last updated 12/30/2022 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 064644
  • GA Medicaid: 003100100A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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