Active NPI
North Georgia GYN
- Gynecology Physician
- Kennesaw, GA
National Provider Identifier
1023082930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036769
- Legal business name
- NORTH GEORGIA GYN
- Practice address
- 3450 Acworth Due West Rd NW
Suite 380
Kennesaw, GA 30144 - Phone
- (770) 974-7010
- Fax
- (770) 975-1001
- NPI assigned
- Feb 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James P Haley, MD
- Title
- Owner President
- Phone
- (770) 974-7010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036769 | GA | Primary |
Addresses
Primary practice location
3450 Acworth Due West Rd NW
Suite 380
Kennesaw, GA 30144
Mailing address
3450 Acworth Due West Rd NW
Suite 380
Kennesaw, GA 30144
Phone (770) 974-7010
National Provider Directory
National Provider DirectoryLocations
3450 Acworth Due West Rd NW
Ste 380
Kennesaw, GA 30144
Phone (770) 974-7010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Woodstock, GA
- NPI 1043250269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023082930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 ACWORTH DUE WEST RD NW",
"address_2": "SUITE 380",
"city": "KENNESAW",
"state": "GA",
"postal_code": "30144",
"telephone_number": "770-974-7010",
"fax_number": "770-975-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 ACWORTH DUE WEST RD NW",
"address_2": "SUITE 380",
"city": "KENNESAW",
"state": "GA",
"postal_code": "30144",
"telephone_number": "770-974-7010",
"fax_number": "770-975-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GEORGIA GYN",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HALEY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "770-974-7010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "036769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.