NPI age
12 years
Enumerated 2013-10-16
● Active Type 2 · Organization
Dr. Kissing Ob & Gyn
Dr. Kissing Ob & Gyn is 1 of 1,870 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kissing
Owner
Last NPPES update
2013-10-16
Source: CMS NPPES provider record
How this organization compares
Across 1870 active specialist providers in Georgia.
NPI age
12 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2013
2013-10Enumerated in NPPES
2013
2013
Where they practice
Primary practice location
5720 Buford Hwy, 102
Norcross, GA 300712577
Mailing address
5720 Buford Hwy, 102
Norcross, GA 300712577
Authorized official
Dominik Kissing, M.D.
Owner
📞 7708883102
Other providers sharing this address
2 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Tori Durham, WHNP-BP Nurse Practitioner NPI 1699158659
- Jose Fajardo, D.M.D Dentist NPI 1124423934
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003112332D |
Practice context
Shared NPPES address. 2 individual providers use this primary address. This does not prove employment or affiliation.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.