IDEAL GYNECOLOGY 2, LLC
NPI 1003343963
Obstetrics & Gynecology in Atlanta, GA

Q: What is Ideal Gynecology 2, LLC's NPI number?

The NPI number for Ideal Gynecology 2, LLC is 1003343963. It was assigned to this organization in the NPPES registry on May 22, 2017.

Q: What is Ideal Gynecology 2, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since May 22, 2017CLIA 11D2121704 · Waiver

3200 DOWNWOOD CIR NW STE 220, ATLANTA, GA 30327(470) 312-3696(866) 278-2622 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ideal Gynecology 2, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDEAL GYNECOLOGY 2, LLC (NPI 1003343963) is a healthcare organization registered as an obstetrics & gynecology in Atlanta, Georgia and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Shelley Depp, Payer Relations Liaison, as its authorized official.

NPPES Registry Identity

NPI1003343963

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameIDEAL GYNECOLOGY 2, LLC

Location Address3200 DOWNWOOD CIR NW STE 220Atlanta, GA 30327-1611

Mailing AddressPo Box 468329Atlanta, GA 31146-8329 · (404) 943-0205 · Fax (404) 943-0209

Phone(470) 312-3696

Fax(866) 278-2622

Organization SubpartNo

Authorized OfficialShelley DeppPayer Relations Liaison · (770) 579-2626

Enumeration DateMay 22, 2017

✔ NPI 1003343963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 40540

Definition

An 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 physicians and as a primary physician for women.

3200 DOWNWOOD CIR NW STE 220, Atlanta, GA 30327

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2121704

Ideal Gynecology, LLC · Atlanta, GA

Active · expires Nov 13, 2026

CLIA Number11D2121704

Laboratory TypePhysician Office

Certificate Effective DateNovember 14, 2024

Certificate Expiration DateNovember 13, 2026

Laboratory DirectorLillian R. Schapiro

Laboratory Phone(470) 312-3696

Laboratory LocationIdeal Gynecology, LLC3200 Downwood Ctr, NW, Suite 220, Atlanta, GA 30327

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEE FORRESTER

Nurse Practitioner (Women's Health)