Atlanta Women'S Health Group, P.C.
Organization Active NPI Specialist · Atlanta, GA
NPI 1174501902 · NPPES record last updated Jan 29, 2020
Key facts
- NPI
- 1174501902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- BL02-07164 (GA)
- Legal business name
- ATLANTA WOMEN'S HEALTH GROUP, P.C.
- Practice address
- 5780 Peachtree Dunwoody Road
Suite 300
Atlanta, GA 30342-1513 - Phone
- (404) 303-1224
- Fax
- (404) 303-1325
- NPI assigned
- Jan 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard Charles Zane, M.D.
- Title
- President/Ceo
- Phone
- (404) 303-1224
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 6
Practitioners 131
-
Komal Agarwal, MD
-
Sehar Ali, MD
-
Indu Stacey Anand, M.D.
-
Christopher Emile Bassil, M.D.
-
Anna Carter, M.D.
-
Brittainy L Dark, M.D.
-
John William Donnelly, M.D.
-
Mary Elizabeth Eaccarino, M.D.
-
Genevieve L Fairbrother, M.D.
-
Kirsten L Franklin, M.D.
-
Heath Ross Graham, M.D.
-
Haleh P. Hamidi, M.D.
-
Jill Henke, M.D.
-
Ujuka A Iloabuchi, M.D.
-
Sarah Lorraine Jeffers, M.D.
-
Sara Foppe Jennings, M.D.
-
Valerie L Johnson, M.D.
-
Edmund Sung Joon Kim, M.D.
-
Sarah Rose Lane, MD, MPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420001095 | GA | Part B Supplier - Clinic/Group Practice | 1951396639 |
Receives reassigned benefits from 78 practitioners 1 other NPI on this enrollment Practice locations: Cumming, GA; Dacula, GA; Duluth, GA; Dunwoody, GA; Johns Creek, GA; Lawrenceville, GA; Marietta, GA; Snellville, GA… |
National Provider Directory
- Tax ID family
- Stephen Ayres MD
Locations (25 of 36)
11975 Morris Rd
Ste 300
Alpharetta, GA 30005
Phone (770) 521-2295
3400 Old Milton Pkwy
Ste C200
Alpharetta, GA 30005
3400 Old Milton Pkwy
Ste 430
Alpharetta, GA 30005
Phone (770) 667-0669
3400 Old Milton Pkwy
Bldg C
Alpharetta, GA 30005
Phone (678) 384-4911
3905 Brookside Pkwy
Ste 106
Alpharetta, GA 30022
3905 Brookside Pkwy
Ste 205
Alpharetta, GA 30022
3905 Brookside Pkwy
Ste 204
Alpharetta, GA 30022
Phone (404) 255-3633
3400 Old Milton Pkwy
Ste 475
Alpharetta, GA 30005
3905 Brookside Pkwy
Ste 201
Alpharetta, GA 30022
Phone (770) 521-2295
3400 Old Milton Pkwy
Ste 200
Alpharetta, GA 30005
Phone (770) 667-7440
1000 Hawthorne Ave
Ste G
Athens, GA 30606
Phone (706) 369-0019
355 Hawthorne Ln
Athens, GA 30606
Phone (706) 369-0019
5780 Peachtree Dunwoody Rd
Ste 3
Atlanta, GA 30342
1495 Hickory Flat Hwy
Canton, GA 30115
1505 Northside Blvd
Ste 3400
Cumming, GA 30041
Phone (770) 442-3117
1505 Northside Blvd
Ste 2400
Cumming, GA 30041
Phone (770) 292-3490
2450 Atlanta Hwy
Ste 103
Cumming, GA 30040
Phone (770) 777-0750
2098 Teron Trce
Ste S150
Dacula, GA 30019
3660 Flat Shoals Rd
Ste 180
Decatur, GA 30034
Phone (404) 243-7777
3630 Savannah Pl
Ste 100B
Duluth, GA 30096
3630 Savannah Pl
Ste B
Duluth, GA 30096
Phone (678) 474-0203
2029 Pernoshal Ct
Dunwoody, GA 30338
Phone (770) 730-0451
1829 Independence Sq
Ste 1
Dunwoody, GA 30338
Phone (770) 551-9616
11 Dunwoody Park
Ste 100
Dunwoody, GA 30338
Phone (404) 889-5307
684 Sixes Rd
Holly Springs, GA 30115
Phone (678) 388-5460
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | BL02-07164 | GA | Yes |
Addresses
Primary practice location
5780 Peachtree Dunwoody Road
Suite 300
Atlanta, GA 30342-1513
Mailing address
5780 Peachtree Dunwoody Road
Suite 300
Atlanta, GA 30342-1513
Phone (404) 303-1224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP3569 | Other | GA | MEDICARE PTAN |
Other names
- Atlanta Women's Health Group, P.C. 2LLC
Other providers in Atlanta, GA
- Atlanta Wellness MD PC
- Atlanta Wellness Studio, LLC
- Atlanta Wellness Transportation
- Atlanta Wide Mobile Testing, LLC
- Atlanta Women'S Health Group 2LLC
- Atlanta Women'S Health Group, P.C.
- Atlanta Women'S Healthcare Specialists 3 LLC
- Atlanta Women'S Heathcare Specialists, LLC
- Atlanta Women'S Medical Care, Inc
- Atlanta Women'S Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.