Athens Healthcare for Women PC
Organization Active NPI Obstetrics & Gynecology Physician · Athens, GA
NPI 1184771313 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1184771313
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 051738 (GA)
- Legal business name
- ATHENS HEALTHCARE FOR WOMEN PC
- Practice address
- 1270 Prince Ave
Suite 308
Athens, GA 30606-2762 - Phone
- (706) 552-1600
- Fax
- (706) 552-5370
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joshua Sepesi, M.D.
- Title
- Physician-Owner
- Phone
- (706) 552-1600
Practitioners 2
-
Joshua G Sepesi, M.D.
-
Jessica Veann Swilley, NURSE PRACTITIONER
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1042815 | Athens Healthcare for Women PC | Provider-performed microscopy | Jul 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051013000894 | GA | Part B Supplier - Clinic/Group Practice | 0840215265 |
Receives reassigned benefits from 2 practitioners Practice locations: Athens, GA |
National Provider Directory
Locations
1270 Prince Ave
Ste 308
Athens, GA 30606
Phone (706) 552-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 051738 | GA | Yes |
Addresses
Primary practice location
1270 Prince Ave
Suite 308
Athens, GA 30606-2762
Mailing address
1270 Prince Ave
Suite 308
Athens, GA 30606-2762
Phone (706) 552-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 963216 | Other | GA | BLUE CROSS BLUE SHIELD |
| 322075 | Other | GA | WELLCARE |
| 10059222 | Other | GA | AMERIGROUP |
Other providers in Athens, GA
- Athens General & Colorectal Surgeons, PC
- Athens Geriatrics and Internal Medicine, PC
- Athens Gynecology PC
- Athens Hand Therapy LLC
- Athens Hand Therapy LLC
- Athens Hearing Aid Center
- Athens Heart Center, PC
- Athens Heart Center, PC
- Athens Hospitalist Services PC
- Athens Imaging Center
All providers in Athens, GA · Obstetrics & Gynecology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.