Tenet South Fulton Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TENET SOUTH FULTON INC.

Doing business as

South Fulton Primary Care Services

Practice address

3699 Bakers Ferry Rd SW
Atlanta, GA 30331-3712

Phone

(404) 765-4164

Fax

(404) 762-4897

NPI assigned

Jun 21, 2006

Last updated

Jul 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 2

Addresses

Other names 1

• South Fulton Primary Care Services Doing business as

Locations

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1326084278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 JOHN WESLEY AVE",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373606",
            "telephone_number": "404-765-4164",
            "fax_number": "404-762-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 BAKERS FERRY RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313712",
            "telephone_number": "404-765-4164",
            "fax_number": "404-762-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET SOUTH FULTON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Fulton Primary Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tender Heart Transportation
• Tender Loving Care Services of Georgia, L.L.C. (Staff Builders Home Health)
• Tender Touch Atlanta, LLC
• Tender Touch Private Home Care, LLC
• Mah Clavia Foje Tendoh, ARNP
• Tenet, Atlanta Medical Center
• Samuel O Teniola, MD
• Gayathri Tenjarla, MD
• Elena Cuclis Tennant, LMSW
• Kerry Tenney-Thomas, PA

• Obstetrics & Gynecology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.