Organization Active NPI

Signature Women'S Healthcare

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
National Provider Identifier
1295906709
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
044249 Issued in GA
Legal business name
SIGNATURE WOMEN'S HEALTHCARE
Practice address
2775 Cruse Rd
Ste 2101
Lawrenceville, GA 30044-7140
Phone
(404) 380-1200
Fax
(404) 380-7494
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Joyce McKay Merriman
Title
Practice Manager
Phone
(678) 380-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 044249 GA Primary

Addresses

Primary practice location

2775 Cruse Rd
Ste 2101
Lawrenceville, GA 30044-7140

Mailing address

2775 Cruse Rd
Ste 2101
Lawrenceville, GA 30044-7140
Phone (404) 380-1200

Other identifiers 1

IdentifierTypeStateIssuer
000867578CMedicaidGA

National Provider Directory

National Provider Directory

Locations

3539A Wesley Chapel Rd
Decatur, GA 30034
Phone (770) 323-9300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1295906709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD",
            "address_2": "STE 2101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447140",
            "telephone_number": "404-380-1200",
            "fax_number": "404-380-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD",
            "address_2": "STE 2101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447140",
            "telephone_number": "404-380-1200",
            "fax_number": "404-380-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE WOMEN'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MCKAY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "678-380-1200"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "044249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000867578C",
            "state": "GA"
        }
    ],
    "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 Mar 13, 2008; 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.