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KATHLEEN M. RAVIELE, MD PC
NPI 1316296411
Obstetrics & Gynecology - Gynecology in Decatur, GA

Active since September 05, 2012
2799 LAWRENCEVILLE HWY, SUITE 110, DECATUR, GA 30033(770) 491-0255(770) 491-8157 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen M. Raviele, Md Pc NPPES

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

KATHLEEN M. RAVIELE, MD PC (NPI 1316296411) is a healthcare organization registered as a gynecology in Decatur, Georgia and active in the NPI registry since September 2012. The organization lists Carol H Garrison, Insurance, as its authorized official.

NPPES Registry Identity

NPI1316296411
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameKATHLEEN M. RAVIELE, MD PC
Location Address2799 LAWRENCEVILLE HWY, SUITE 110Decatur, GA 30033-2517
Mailing Address2799 Lawrenceville Hwy, Suite 110Decatur, GA 30033-2517 · (770) 491-0255 · Fax (770) 491-8157
Phone(770) 491-0255
Fax(770) 491-8157
Organization SubpartNo
Authorized OfficialCarol H GarrisonInsurance · (770) 491-0255
Enumeration DateSeptember 5, 2012
Last NPPES UpdateJuly 9, 2015
✔ NPI 1316296411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in GA · 020801
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2799 LAWRENCEVILLE HWY, Decatur, GA 30033
Open in Google Maps ↗

Other Identifiers 3

Medicaid000179935CGA
Other16BDCCBGA · Medicare Ptan
Medicare UPIND30568GA

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

Other Providers at the Same Location NPPES 10

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

MARC L. HERSCHER PT
Physical Therapist
2799 LAWRENCEVILLE HWY, 205
DECATUR, GA 30033
Dekalb County (770) 491-0920
DR. TRUDI BRATTEN JOHNSTON PH.D.
Psychologist
2799 LAWRENCEVILLE HWY, SUITE 107
DECATUR, GA 30033
Dekalb County (660) 621-0171
ROSANNA PURAN BAHADUR M.D.
Ophthalmology
2799 LAWRENCEVILLE HWY, SUITE 104
DECATUR, GA 30033
Dekalb County (678) 534-0200
THOMAS ELLIOT EDWARDS JR. M.D.
Specialist
2799 LAWRENCEVILLE HWY, SUITE 104
DECATUR, GA 30033
Dekalb County (678) 534-0200
SARA ELIZABETH DALE PT, DPT
Physical Therapist
2799 LAWRENCEVILLE HWY, SUITE 205
DECATUR, GA 30033
Dekalb County (770) 491-0920
MR. CHARLES DAVID MATTHEWS M.S.
Counselor (Professional)
2799 LAWRENCEVILLE HWY, SUITE 107
DECATUR, GA 30033
Dekalb County (770) 414-5800
DR. KATHLEEN M RAVIELE MD
Obstetrics & Gynecology (Gynecology)
2799 LAWRENCEVILLE HWY, SUITE 110
DECATUR, GA 30033
Dekalb County (770) 491-0255
ALISON WRIGHT MASKELL DPT
Physical Therapist
2799 LAWRENCEVILLE HWY, SUITE 205
DECATUR, GA 30033
Dekalb County (770) 491-0920

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 Kathleen M. Raviele, MD PC's NPI number?

The NPI number for Kathleen M. Raviele, MD PC is 1316296411. It was assigned to this organization in the NPPES registry on September 5, 2012.

Where is Kathleen M. Raviele, MD PC located?

Kathleen M. Raviele, MD PC is located at 2799 Lawrenceville Hwy Suite 110, Decatur, GA 30033. The listed phone number is (770) 491-0255.

What is Kathleen M. Raviele, MD PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Kathleen M. Raviele, MD PC was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.