Organization Active NPI

Atlanta Women's Surgery Specialists, P.C.

  • Obstetrics & Gynecology Physician
  • Canton, GA
National Provider Identifier
1104261528
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
069079 Issued in GA
Legal business name
ATLANTA WOMEN'S SURGERY SPECIALISTS, P.C.
Practice address
216 Riverstone Dr
Canton, GA 30114-5256
Phone
(770) 720-7733
Fax
(678) 493-9875
NPI assigned
Apr 30, 2013
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Michael Litrel, M.D.NPI 1821105073
Title
M.D.
Phone
(770) 720-7733

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 Physician 207V00000X 069079 GA Primary

Addresses

Primary practice location

216 Riverstone Dr
Canton, GA 30114-5256

Mailing address

1305 Hembree Rd
Suite 202
Roswell, GA 30076-3810
Phone (770) 720-7733

National Provider Directory

National Provider Directory

Locations

216 Riverstone Dr
Canton, GA 30114
Phone (770) 720-7733

1305 Hembree Rd
Roswell, GA 30076
Phone (470) 485-6342

1305 Hembree Rd
Ste 202
Roswell, GA 30076

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1104261528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 HEMBREE RD",
            "address_2": "SUITE 202",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763810",
            "telephone_number": "770-720-7733",
            "fax_number": "678-493-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-720-7733",
            "fax_number": "678-493-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA WOMEN'S SURGERY SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "LITREL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "770-720-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "069079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.