Provider Demographics
NPI:1104973064
Name:ATLANTA PERINATAL ASSOCIATES
Entity type:Organization
Organization Name:ATLANTA PERINATAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CULVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-872-3121
Mailing Address - Street 1:550 PEACHTREE STREET, NE
Mailing Address - Street 2:SUITE 1275
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308
Mailing Address - Country:US
Mailing Address - Phone:404-872-3121
Mailing Address - Fax:404-872-3119
Practice Address - Street 1:550 PEACHTREE STREET, NE
Practice Address - Street 2:SUITE 1275
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-872-3121
Practice Address - Fax:404-872-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA300033322HMedicaid
GA300033322BMedicaid
GA300033322GMedicaid
GA300033322AMedicaid
GA300033322DMedicaid
GA300033322EMedicaid
GA300033322CMedicaid
GA300033322FMedicaid
GAGRP3920Medicare ID - Type Unspecified