IndividualActive
Jana Illston, M.D.
NPI 1780904896 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Alpharetta, GA
Provider details
- NPI number
- 1780904896
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 078039 (GA)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 78039 (GA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11975 Morris Rd Ste 310
Alpharetta, GA 30005-4444
Phone: (770) 752-0824
Fax: (770) 752-0845
Approximate (ZIP-level) locationGet directions
Mailing address
5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Additional practice locations (1)
- 980 Johnson Fy Rd Ne Ste 720Atlanta, GA 30342-1628Phone: (404) 252-3898Fax: (404) 843-0719
Registry dates
- Enumerated
- 2010-06-11
- Last updated
- 2021-06-09
- Certified
- 2021-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.