Individual provider Active NPI

Temitope K Fapohunda, M.D.

  • Obstetrics & Gynecology Physician
  • Stockbridge, GA
National Provider Identifier
1245432178
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
059005 Issued in GA
Practice address
1757 Rock Quarry Rd
Stockbridge, GA 30281-7303
Phone
(770) 474-7151
Fax
(770) 506-1916
NPI assigned
Jun 4, 2007
Last updated
Apr 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 059005 GA
Obstetrics & Gynecology Physician 207V00000X 059005 GA Primary

Addresses

Primary practice location

1757 Rock Quarry Rd
Stockbridge, GA 30281-7303

Mailing address

1757 Rock Quarry Rd
Stockbridge, GA 30281-7303
Phone (770) 474-7151

Other identifiers 1

IdentifierTypeStateIssuer
308694910GMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL temitope@schillingwomenscenter.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000566 GA Practitioner - Obstetrics/Gynecology 6709969744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 N Park TRL
Suite 119
Stockbridge, GA 30281-7373
Phone (678) 881-0020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
059005GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Every Woman's OB-GYN LLC Obstetrics & Gynecology CurrentSince Jun 13, 2020 Accepting new patients
Piedmont Henry Hospital, Inc. Past Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

115 N Park Trl
Stockbridge, GA 30281
Phone (470) 491-2050

115 N Park Trl
Ste 119
Stockbridge, GA 30281
Phone (678) 881-0020

119 N Park Trl
Stockbridge, GA 30281
Phone (678) 881-0020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1245432178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817303",
            "telephone_number": "770-474-7151",
            "fax_number": "770-506-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817303",
            "telephone_number": "770-474-7151",
            "fax_number": "770-506-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAPOHUNDA",
        "first_name": "TEMITOPE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "059005",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "059005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308694910G",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "temitope@schillingwomenscenter.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1757 Rock Quarry Rd",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302817303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.