NPIMap

Organization Active NPI

Preferred Women'S Healthcare, LLC

  • Obstetrics Physician
  • Lawrenceville, GA
National Provider Identifier
1245298017
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
PREFERRED WOMEN'S HEALTHCARE, LLC
Practice address
500 Medical Center Blvd
Suite 290
Lawrenceville, GA 30045-8708
Phone
(770) 962-5100
Fax
(770) 962-2400
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Byron C Dickerson, MD
Title
Member/Owner
Phone
(770) 962-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

500 Medical Center Blvd
Suite 290
Lawrenceville, GA 30045-8708

Mailing address

500 Medical Center Blvd
Suite 290
Lawrenceville, GA 30045-8708
Phone (770) 962-5100

National Provider Directory

National Provider Directory

Locations

500 Medical Center Blvd
#31
Lawrenceville, GA 30046
Phone (770) 962-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7139/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1245298017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "SUITE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458708",
            "telephone_number": "770-962-5100",
            "fax_number": "770-962-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "SUITE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458708",
            "telephone_number": "770-962-5100",
            "fax_number": "770-962-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED WOMEN'S HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "770-962-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.