Progressive Women's Healthcare

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PROGRESSIVE WOMEN'S HEALTHCARE

Practice address

10 Park Place SE
Suite LLC
Atlanta, GA 30303-9998

Phone

(404) 699-7096

NPI assigned

May 15, 2008

Last updated

Jun 25, 2020By 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

Miss Ulrica Monique Murray

Title

Manager

Phone

(404) 223-2229

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1154598324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30311",
            "telephone_number": "404-223-2229",
            "fax_number": "404-223-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE SE",
            "address_2": "SUITE LLC",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303039998",
            "telephone_number": "404-699-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE WOMEN'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "ULRICA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-223-2229",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154598324",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568521052",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467510313",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Atlanta, GA
• Providers in Atlanta, 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 Jun 25, 2020; 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.