GREYSTONE OBGYN PC
NPI 1790839157
Specialist in Conyers, GA

Active since January 23, 2007CLIA 11D0923203 · Waiver
3240 AVALON BOULEVARD, CONYERS, GA 30013(770) 860-1133(770) 860-1599 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Greystone Obgyn Pc NPPES

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

GREYSTONE OBGYN PC (NPI 1790839157), doing business as Greystone Ob Gyn, is a healthcare organization registered as a specialist in Conyers, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Timothy N. Cowthorn, Physician/managing Partner, as its authorized official.

NPPES Registry Identity

NPI1790839157
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGREYSTONE OBGYN PC
Location Address3240 AVALON BOULEVARDConyers, GA 30013-6320
Mailing Address3240 Avalon BoulevardConyers, GA 30013-6320 · (770) 860-1133 · Fax (770) 860-1599
Fax(770) 860-1599
Organization SubpartNo
Authorized OfficialTimothy N. CowthornPhysician/managing Partner · (770) 860-1133
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1790839157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 038936
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3240 AVALON BOULEVARD, Conyers, GA 30013

Other Names 1

Doing Business AsGreystone Ob Gyn

Other Identifiers 1

Medicaid00615469EGA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greystone Obgyn Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Greystone Obgyn PC, which bills Medicare for the services they deliver. Of these, 14 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Certified Nurse Midwife (CNM)8
Obstetrics/Gynecology7
Nurse Practitioner3

Clinicians, nearest first (18)

Obstetrics/Gynecology
NPI 1548791312
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1114073236
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1427553577
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1902285398
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1306343462
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1730856865
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1801058458
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1285693374
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1134418296
3240 AVALON BOULEVARD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1740249838
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1932414893
3240 AVALON PKWY
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1023077088
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOSSame address
Nurse Practitioner
NPI 1760295331
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1790584209
3240 AVALON BLVD
Conyers, GA 30013
(770) 860-1133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972272144
65 OLD JACKSON RD
Mcdonough, GA 30252
(678) 490-0080
✔ PECOS✔ Accepts Medicare15 mi
Certified Nurse Midwife (CNM)
NPI 1629669924
1581 DODD DR FL 4
Columbus, OH 43210
(614) 293-3069
✔ PECOS442 mi
Certified Nurse Midwife (CNM)
NPI 1871848291
2451 BEE RIDGE RD
Sarasota, FL 34239
(941) 203-5000
✔ PECOS445 mi
Nurse Practitioner
NPI 1487134474
2655 COUNTY HIGHWAY I
Chippewa Falls, WI 54729
(715) 746-4200
✔ PECOS✔ Accepts Medicare875 mi

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 of Waiver 11D0923203

Greystone Ob/Gyn PC · Conyers, GA
Active · expires Dec 17, 2026
CLIA Number11D0923203
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorTimothy Cowthorn
Laboratory Phone(770) 860-1575
Laboratory LocationGreystone Ob/Gyn PC3240 Avalon Boulevard, Conyers, GA 30013
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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 Greystone Obgyn PC's NPI number?

The NPI number for Greystone Obgyn PC is 1790839157. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Greystone OB GYN.

Where is Greystone Obgyn PC located?

Greystone Obgyn PC is located at 3240 Avalon Boulevard, Conyers, GA 30013. The listed phone number is (770) 860-1133.

What is Greystone Obgyn PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Greystone Obgyn PC enrolled in Medicare?

Yes. Greystone Obgyn PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greystone Obgyn PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Greystone Obgyn 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. The largest specialties are Certified Nurse Midwife (CNM) (8), Obstetrics/Gynecology (7) and Nurse Practitioner (3). Of these, 14 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Greystone Obgyn PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0923203) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greystone Obgyn PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Greystone Obgyn 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 Greystone Obgyn PC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.