Organization Active NPI

Gynecology Issues

  • Gynecology Physician
  • Douglasville, GA
National Provider Identifier
1326229659
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
033093 Issued in GA
Legal business name
GYNECOLOGY ISSUES
Practice address
8954 Hospital Dr Ste 120a
Douglasville, GA 30134-2271
Phone
(770) 732-7989
Fax
(770) 732-2389
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Kimberly Diane Lindsey
Title
Front Office
Phone
(770) 732-7989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 033093 GA Primary

Addresses

Primary practice location

8954 Hospital Dr Ste 120a
Douglasville, GA 30134-2271

Mailing address

8954 Hospital Dr Ste 120a
Douglasville, GA 30134-2271
Phone (770) 732-7989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050727000452 GA Part B Supplier - Clinic/Group Practice 3779511233 Receives reassigned benefits from 1 practitioner
Practice locations: Lithia Springs, GA

National Provider Directory

National Provider Directory

Locations

8954 Hospital Dr
Ste 120A
Douglasville, GA 30134
Phone (770) 732-7987

8954 Hospital Dr
Bldg A
Douglasville, GA 30134
Phone (770) 732-7989

6025 Professional Pkwy
Ste 104A
Douglasville, GA 30134
Phone (770) 732-7989

880 Crestmark Dr
Ste 100
Lithia Springs, GA 30122
Phone (770) 732-7989

Practitioners & affiliated clinicians

Practitioners 2

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1326229659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 HOSPITAL DR STE 120A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342271",
            "telephone_number": "770-732-7989",
            "fax_number": "770-732-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 HOSPITAL DR STE 120A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342271",
            "telephone_number": "770-732-7989",
            "fax_number": "770-732-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY ISSUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "770-732-7989"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "033093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.