MODERN OBSTETRICS AND GYNECOLOGY OF NORTH ATLANTA PC
NPI 1669784252
Obstetrics & Gynecology in Johns Creek, GA

Q: What is Modern Obstetrics And Gynecology Of North Atlanta PC's specialty?

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

Active since July 12, 2010

10692 MEDLOCK BRIDGE RD, SUITE 100A, JOHNS CREEK, GA 30097(404) 446-2496 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Modern Obstetrics And Gynecology Of North Atlanta Pc NPPES

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

MODERN OBSTETRICS AND GYNECOLOGY OF NORTH ATLANTA PC (NPI 1669784252) is a healthcare organization registered as an obstetrics & gynecology in Johns Creek, Georgia and active in the NPI registry since July 2010. The organization lists Ingrid Vivian Reyes, Secretary, as its authorized official.

NPPES Registry Identity

NPI1669784252

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameMODERN OBSTETRICS AND GYNECOLOGY OF NORTH ATLANTA PC

Location Address10692 MEDLOCK BRIDGE RD, SUITE 100AJohns Creek, GA 30097-1890

Mailing Address10692 Medlock Bridge Rd, Suite 100aJohns Creek, GA 30097-1890 · (404) 446-2496

Phone(404) 446-2496

Organization SubpartNo

Authorized OfficialIngrid Vivian ReyesSecretary · (404) 446-2496

Enumeration DateJuly 12, 2010

Last NPPES UpdateSeptember 23, 2016

✔ NPI 1669784252 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 · 064060

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.

10692 MEDLOCK BRIDGE RD, Johns Creek, GA 30097

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Other Identifiers 2

Medicaid1019123110002PA

Medicare PIN111359PA

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Obstetrics And Gynecology Of North Atlanta Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Modern Obstetrics And Gynecology Of North Atlanta PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Natu Mmbaga, M.D.

Obstetrics/Gynecology

NPI 1770710865

10692 MEDLOCK BRIDGE RD STE 100A
Johns Creek, GA 30097

(404) 446-2496

✔ PECOSSame address

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

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 Modern Obstetrics And Gynecology Of North Atlanta PC's NPI number?

The NPI number for Modern Obstetrics And Gynecology Of North Atlanta PC is 1669784252. It was assigned to this organization in the NPPES registry on July 12, 2010.

Where is Modern Obstetrics And Gynecology Of North Atlanta PC located?

Modern Obstetrics And Gynecology Of North Atlanta PC is located at 10692 Medlock Bridge Rd Suite 100A, Johns Creek, GA 30097. The listed phone number is (404) 446-2496.

What is Modern Obstetrics And Gynecology Of North Atlanta PC's specialty?

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

Is Modern Obstetrics And Gynecology Of North Atlanta PC enrolled in Medicare?

Yes. Modern Obstetrics And Gynecology Of North Atlanta PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Obstetrics And Gynecology Of North Atlanta PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Modern Obstetrics And Gynecology Of North Atlanta PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Modern Obstetrics And Gynecology Of North Atlanta PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Modern Obstetrics And Gynecology Of North Atlanta 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 Modern Obstetrics And Gynecology Of North Atlanta PC was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.