Active NPI
Neo Women's Health
- Women's Health Nurse Practitioner
- Martinez, GA
National Provider Identifier
1205435203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Legal business name
- NEO WOMEN'S HEALTH
- Practice address
- 3707 King Rd
Martinez, GA 30907-2352 - Phone
- (706) 785-0515
- Fax
- (706) 785-0535
- NPI assigned
- Oct 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer A Sapp, APRN
- Title
- Women's Health Nurse Practitioner
- Phone
- (719) 641-6405
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Perinatal Nurse Practitioner | 363LP1700X | |||
| Women's Health Nurse Practitioner | 363LW0102X | Primary | ||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X |
Addresses
Primary practice location
3707 King Rd
Martinez, GA 30907-2352
Mailing address
230 Gustav CT
North Augusta, SC 29860-8212
Phone (719) 641-6405
National Provider Directory
National Provider DirectoryLocations
3707 King Rd
Martinez, GA 30907
Phone (706) 785-0515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603238400000",
"number": "1205435203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 GUSTAV CT",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298608212",
"telephone_number": "719-641-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 KING RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309072352",
"telephone_number": "706-785-0515",
"fax_number": "706-785-0535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEO WOMEN'S HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A",
"authorized_official_last_name": "SAPP",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "WOMEN'S HEALTH NURSE PRACTITIONER",
"authorized_official_telephone_number": "719-641-6405",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP1700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Perinatal",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.