DR. KATHLEEN M RAVIELE MD NPI 1508954298

NPI Information

NPI: 1508954298
Provider Name: DR. KATHLEEN M RAVIELE, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
2799 LAWRENCEVILLE HWY
SUITE 110
DECATUR, GA
ZIP 30033
Phone: (770) 491-0255
Get Directions

DR. Kathleen M Raviele, MD is a gynecology obstetrics gynecology in Decatur, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Kathleen M Raviele, MD NPI is 1508954298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2799 LAWRENCEVILLE HWY
SUITE 110
DECATUR, GA
ZIP 30033-517
Phone: (770) 491-0255
Fax: (770) 491-8157

The NPI 1508954298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	020801	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16BDCCB	OTHER	GEORGIA	PTAN
2	7406947	OTHER	GEORGIA	UNITED HEALTHCARE
3	D30568	MEDICARE UPIN
4	000179935C	MEDICAID	GEORGIA
5	160056472	OTHER	GEORGIA	MEDICARE RAILROAD PALMETT

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »