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ATLANTA GYNECOLOGY & OBSTETRICS P.C.
NPI 1194962100
Obstetrics & Gynecology in Decatur, GA

Active since January 13, 2009CLIA 11D0254302 · Microscopy
315 WINN WAY, DECATUR, GA 30030(404) 299-9724(404) 299-0382 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atlanta Gynecology & Obstetrics P.c. NPPES

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

ATLANTA GYNECOLOGY & OBSTETRICS P.C. (NPI 1194962100) is a healthcare organization registered as an obstetrics & gynecology in Decatur, Georgia and active in the NPI registry since January 2009. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Catherine Mary Bonk, President, as its authorized official.

NPPES Registry Identity

NPI1194962100
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameATLANTA GYNECOLOGY & OBSTETRICS P.C.
Location Address315 WINN WAYDecatur, GA 30030-2111
Mailing Address315 Winn WayDecatur, GA 30030-2111 · (404) 299-9724 · Fax (404) 299-0382
Phone(404) 299-9724
Fax(404) 299-0382
Organization SubpartNo
Authorized OfficialCatherine Mary BonkPresident · (404) 299-9724
Enumeration DateJanuary 13, 2009
Last NPPES UpdateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1194962100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
315 WINN WAY, Decatur, GA 30030
Open in Google Maps ↗

Other Identifiers 1

Other202G702161GA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlanta Gynecology & Obstetrics P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Atlanta Gynecology & Obstetrics P.C., which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Erin Duncan, MD, MPH
Obstetrics/Gynecology
NPI 1982047817
315 WINN WAY
Decatur, GA 30030
(404) 299-9724
✔ PECOS✔ Accepts MedicareSame address
Lisa Mandeville, M.D.
Obstetrics/Gynecology
NPI 1821020041
315 WINN WAY
Decatur, GA 30030
(404) 299-9724
✔ PECOS✔ Accepts MedicareSame address
Rachel Mcdiehl, MD
Obstetrics/Gynecology
NPI 1760986798
315 WINN WAY
Decatur, GA 30030
(404) 299-9724
✔ PECOS✔ Accepts MedicareSame address
Banafsheh Shoai, MD
Obstetrics/Gynecology
NPI 1497383871
315 WINN WAY
Decatur, GA 30030
(404) 299-9724
✔ PECOS✔ Accepts MedicareSame address
Faiza Gilani
Nurse Practitioner
NPI 1396425898
315 WINN WAY
Decatur, GA 30030
(404) 299-9724
✔ PECOSSame address
Avanti Johnson Hall
Nurse Practitioner
NPI 1447113923
315 WINN WAY
Decatur, GA 30030
(404) 299-9724
✔ PECOS✔ Accepts MedicareSame address
Margaret Leith, MSN, MPH, WHNP-BC
Nurse Practitioner
NPI 1497559389
315 WINN WAY
Decatur, GA 30030
(404) 299-9724
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0254302

Atlanta Gynecology & Obstetrics PC · Decatur, GA
Active · expires Aug 31, 2028
CLIA Number11D0254302
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorLisa Dawn Mandeville-Brown
Laboratory Phone(404) 299-9724
Laboratory LocationAtlanta Gynecology & Obstetrics PC315 Winn Way, Decatur, GA 30030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlanta Gynecology & Obstetrics P.C.'s NPI number?

The NPI number for Atlanta Gynecology & Obstetrics P.C. is 1194962100. It was assigned to this organization in the NPPES registry on January 13, 2009.

Where is Atlanta Gynecology & Obstetrics P.C. located?

Atlanta Gynecology & Obstetrics P.C. is located at 315 Winn Way, Decatur, GA 30030. The listed phone number is (404) 299-9724.

What is Atlanta Gynecology & Obstetrics P.C.'s specialty?

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

Is Atlanta Gynecology & Obstetrics P.C. enrolled in Medicare?

Yes. Atlanta Gynecology & Obstetrics P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Gynecology & Obstetrics P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Atlanta Gynecology & Obstetrics P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (4) and Nurse Practitioner (3). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atlanta Gynecology & Obstetrics P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0254302) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlanta Gynecology & Obstetrics P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Atlanta Gynecology & Obstetrics P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atlanta Gynecology & Obstetrics P.C. was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.