Active NPI
Cpmobgyn
- Health Service Clinic/Center
- Cumming, GA
National Provider Identifier
1205607801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CPMOBGYN
- Practice address
- 1628 Market Place Blvd
Cumming, GA 30041-7927 - Phone
- (770) 888-3102
- Fax
- (470) 297-8032
- NPI assigned
- Jan 11, 2024
- 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. Deborah E Carpenter, NP
- Title
- Owner
- Phone
- (404) 754-1068
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1628 Market Place Blvd
Cumming, GA 30041-7927
Mailing address
5810 Bark Camp Rd
Murrayville, GA 30564-1829
Phone (404) 754-1068
Other practice location 1
5720 Buford Hwy Ste 102
Norcross, GA 30071-2574
Phone (770) 888-3102
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Cumming, GA
- NPI 1659479376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704931200000",
"number": "1205607801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5810 BARK CAMP RD",
"city": "MURRAYVILLE",
"state": "GA",
"postal_code": "305641829",
"telephone_number": "404-754-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 MARKET PLACE BLVD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417927",
"telephone_number": "770-888-3102",
"fax_number": "470-297-8032"
}
],
"practiceLocations": [
{
"address_1": "5720 Buford Hwy Ste 102",
"address_purpose": "LOCATION",
"city": "Norcross",
"state": "GA",
"postal_code": "300712574",
"country_code": "US",
"telephone_number": "770-888-3102",
"fax_number": "470-297-8032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CPMOBGYN",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-754-1068",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.