NPIMap

Organization Active NPI

Every Woman'S OB-GYN LLC

  • Obstetrics & Gynecology Physician
  • Stockbridge, GA
National Provider Identifier
1053936765
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
EVERY WOMAN'S OB-GYN LLC
Practice address
119 N Park TRL
Stockbridge, GA 30281-7373
Phone
(678) 881-0020
Fax
(706) 641-0277
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Temitope Fapohunda, MDNPI 1245432178
Title
Owner
Phone
(706) 495-8750

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

119 N Park TRL
Stockbridge, GA 30281-7373

Mailing address

100 Missing Lake Dr
Ellenwood, GA 30294-3191
Phone (706) 495-8750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address provider@everywomansob.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200727001685 GA Part B Supplier - Clinic/Group Practice 2062836828 Receives reassigned benefits from 3 practitioners
Practice locations: Stockbridge, GA

National Provider Directory

National Provider Directory

Locations

115 N Park Trl
Ste 200
Stockbridge, GA 30281

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1053936765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MISSING LAKE DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302943191",
            "telephone_number": "706-495-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N PARK TRL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817373",
            "telephone_number": "678-881-0020",
            "fax_number": "706-641-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERY WOMAN'S OB-GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "FAPOHUNDA",
        "authorized_official_first_name": "TEMITOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-495-8750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "provider@everywomansob.com",
            "affiliation": "N",
            "endpointDescription": "email to md",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "119 N Park Trl",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302817373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.