Monroe Hma Physician Management LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

051832 Issued in GA

Legal business name

MONROE HMA PHYSICIAN MANAGEMENT LLC

Doing business as

Loganville OB/GYN

Practice address

3543 Highway 81
Loganville, GA 30052-4336

Phone

(770) 913-8082

Fax

(770) 913-8085

NPI assigned

Feb 27, 2009

Organization subpart

Yes

Parent organization

MONROE HMA PHYSICIAN MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Jennifer Virgilio

Title

Practice Manager

Phone

(770) 207-7859

Specialties & licenses 1

Addresses

Other names 1

• Loganville OB/GYN Doing business as

Part of

Monroe Hma Physician Management LLC

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12293/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1073753299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BREEDLOVE DR",
            "address_2": "SUITE 200",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552090",
            "telephone_number": "770-266-0351",
            "fax_number": "770-266-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524336",
            "telephone_number": "770-913-8082",
            "fax_number": "770-913-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE HMA PHYSICIAN MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONROE HMA PHYSICIAN MANAGEMENT LLC",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "VIRGILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-207-7859"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "051832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loganville OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Loganville, GA
• Providers in Loganville, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.