Georgia Gifts From Grace LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GEORGIA GIFTS FROM GRACE LLC

Doing business as

Georgia Gifts from Grace

Practice address

2500 Hospital Blvd
Suite 290
Roswell, GA 30076-4907

Phone

(770) 622-5889

Fax

(770) 622-5890

NPI assigned

Oct 28, 2011

Last updated

Jun 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other names 1

• Georgia Gifts from Grace Doing business as

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1083990501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741908",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741908",
            "telephone_number": "770-622-5889",
            "fax_number": "770-622-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "SUITE 290",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-622-5889",
            "fax_number": "770-622-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA GIFTS FROM GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Gifts from Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.