NPIMap

Organization Active NPI

Life Cycle OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1104197797
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
045937 Issued in GA
Legal business name
LIFE CYCLE OB/GYN, LLC
Practice address
3886 Princeton Lakes Way SW
Suite 160
Atlanta, GA 30331-5511
Phone
(404) 530-3060
Fax
(404) 344-7511
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Anne Sigouin
Title
Practice Manager
Phone
(404) 766-8371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 045937 GA Primary

Addresses

Primary practice location

3886 Princeton Lakes Way SW
Suite 160
Atlanta, GA 30331-5511

Mailing address

2739 Felton Dr
East Point, GA 30344-3603
Phone (404) 766-8371

National Provider Directory

National Provider Directory
Tax ID family
Life Cycle OBGYN LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3886 Princeton Lakes Way SW
Ste 160
Atlanta, GA 30331
Phone (404) 530-3060

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1104197797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 FELTON DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443603",
            "telephone_number": "404-766-8371",
            "fax_number": "404-767-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 PRINCETON LAKES WAY SW",
            "address_2": "SUITE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315511",
            "telephone_number": "404-530-3060",
            "fax_number": "404-344-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CYCLE OB/GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "SIGOUIN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-766-8371"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "045937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.