Provider Type Icon

ALPHA OBGYN INC NPI 1235533001


NPI Information

NPI: 1235533001
Provider Name: ALPHA OBGYN INC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

CLIA Number: 11D2084886

Address:
2905 JORDAN CT
SUITE G
ALPHARETTA, GA
ZIP 30004
Phone: (678) 335-9223
Get Directions

ALPHA OBGYN INC is an obstetrics obstetrics gynecology in Alpharetta, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee ALPHA OBGYN INC NPI is 1235533001. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2905 JORDAN CT
SUITE G
ALPHARETTA, GA
ZIP 30004
Phone: (678) 335-9223
Fax: (678) 335-9236

The provider's authorized official is Sowmya Reddy .
The authorized official title is Physician and has the following contact phone number (678) 335-9223.

The CLIA number assigned to this NPI record is 11D2084886 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/22/2014 and was last updated on 4/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics060596GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202I164160OTHERWELLCARE PTAN
2569399OTHERGEORGIAWELLCARE
3450094819EMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.