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DEKALB-GWINNETT OB/GYN PC
NPI 1659482883
Obstetrics & Gynecology in Norcross, GA

Active since August 31, 2006CLIA 11D0256000 · Microscopy
4045 WETHERBURN WAY, NORCROSS, GA 30092(770) 449-8171(770) 449-5015 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dekalb-gwinnett Ob/gyn Pc NPPES

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

DEKALB-GWINNETT OB/GYN PC (NPI 1659482883) is a healthcare organization registered as an obstetrics & gynecology in Norcross, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through February 23, 2028 and lists Joseph L Tate, President, as its authorized official.

NPPES Registry Identity

NPI1659482883
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameDEKALB-GWINNETT OB/GYN PC
Location Address4045 WETHERBURN WAYNorcross, GA 30092-1893
Mailing Address4045 Wetherburn WayNorcross, GA 30092-1893 · (770) 449-8171 · Fax (770) 449-5015
Phone(770) 449-8171
Fax(770) 449-5015
Organization SubpartNo
Authorized OfficialJoseph L TatePresident · (770) 449-8171
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 18, 2013
✔ NPI 1659482883 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.
4045 WETHERBURN WAY, Norcross, GA 30092
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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

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 ›

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) 11D0256000

Dekalb-Gwinnett Ob/Gyn PC · Norcross, GA
Active · expires Feb 23, 2028
CLIA Number11D0256000
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorJoseph L. Tate
Laboratory Phone(770) 449-8171
Laboratory LocationDekalb-Gwinnett Ob/Gyn PC4045 Wetherburn Way, Norcross, GA 30092
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.

Other Providers at the Same Location NPPES 2

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

PEACHTREE CORNERS EYE CLINIC
Optometrist
4045 WETHERBURN WAY, SUITE
NORCROSS, GA 30092
Gwinnett County (770) 441-1211
JOSEPH L TATE MD
Obstetrics & Gynecology
4045 WETHERBURN WAY
NORCROSS, GA 30092
Gwinnett County (770) 449-8171

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 Dekalb-Gwinnett Ob/Gyn PC's NPI number?

The NPI number for Dekalb-Gwinnett Ob/Gyn PC is 1659482883. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Dekalb-Gwinnett Ob/Gyn PC located?

Dekalb-Gwinnett Ob/Gyn PC is located at 4045 Wetherburn Way, Norcross, GA 30092. The listed phone number is (770) 449-8171.

What is Dekalb-Gwinnett Ob/Gyn PC's specialty?

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

Does Dekalb-Gwinnett Ob/Gyn PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0256000) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dekalb-Gwinnett Ob/Gyn PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dekalb-Gwinnett Ob/Gyn PC 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 Dekalb-Gwinnett Ob/Gyn PC was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.