NPI age
15 years
Enumerated 2010-07-12
● Active Type 2 · Organization
Modern Obstetrics And Gynecology Of North Atlanta Pc
Modern Obstetrics And Gynecology Of North Atlanta Pc is 1 of 1893 obstetrics & gynecology organizations in Georgia.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reyes
Secretary
Last NPPES update
2016-09-23
Source: monthly bulk 2026-05
How this organization compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
10692 Medlock Bridge Rd, Suite 100a
Johns Creek, GA 300971890
Mailing address
10692 Medlock Bridge Rd, Suite 100a
Johns Creek, GA 300971890
Authorized official
Ingrid Vivian Reyes, M.D.
Secretary
📞 4044462496
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Natalie Clericuzio, MD Obstetrics & Gynecology NPI 1821550724
- Tonya Sanchez, PA-C Physician Assistant NPI 1962690404
- Kristi Vines, WHNP Nurse Practitioner NPI 1982210860
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 1019123110002 |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.