METROPOLITAN ATLANTA OB/GYN
NPI 1356598833
Obstetrics & Gynecology - Gynecology in Decatur, GA

Active since August 26, 2008CLIA 11D0720769 · Waiver
4201 RAINBOW DR, DECATUR, GA 30034(404) 534-0035(404) 286-7100 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Metropolitan Atlanta Ob/gyn NPPES

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

METROPOLITAN ATLANTA OB/GYN (NPI 1356598833) is a healthcare organization registered as a gynecology in Decatur, Georgia and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Tyrone C. Malloy, Owner, as its authorized official.

NPPES Registry Identity

NPI1356598833
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameMETROPOLITAN ATLANTA OB/GYN
Location Address4201 RAINBOW DRDecatur, GA 30034-2302
Mailing Address4201 Rainbow DrDecatur, GA 30034-2302 · (404) 534-0035 · Fax (404) 286-7100
Fax(404) 286-7100
Organization SubpartNo
Authorized OfficialTyrone C. MalloyOwner · (404) 534-0035
Enumeration DateAugust 26, 2008
Last NPPES UpdateApril 27, 2010
NPI 1356598833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
4201 RAINBOW DR, Decatur, GA 30034

Other Identifiers 2

Medicare PIN16BBCPCGA
Medicaid000227741AGA

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 11D0720769

Metropolitan Atlanta Ob Gyn · Decatur, GA
Active · expires Aug 31, 2027
CLIA Number11D0720769
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorTyrone C. Malloy
Laboratory Phone(404) 534-0035
Laboratory LocationMetropolitan Atlanta Ob Gyn1991 Williamsburg Drive, Suite B, Decatur, GA 30033
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

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

Obstetrics & Gynecology (Gynecology)
4201 RAINBOW DR
DECATUR, GA 30034

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 Metropolitan Atlanta Ob/Gyn's NPI number?

The NPI number for Metropolitan Atlanta Ob/Gyn is 1356598833. It was assigned to this organization in the NPPES registry on August 26, 2008.

Where is Metropolitan Atlanta Ob/Gyn located?

Metropolitan Atlanta Ob/Gyn is located at 4201 Rainbow Dr, Decatur, GA 30034. The listed phone number is (404) 534-0035.

What is Metropolitan Atlanta Ob/Gyn's specialty?

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

Does Metropolitan Atlanta Ob/Gyn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0720769) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Metropolitan Atlanta Ob/Gyn was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.