NPIMap

Organization Active NPI

Immanuel Women's Center, L.L.C

  • Obstetrics & Gynecology Physician
  • Chatsworth, GA
National Provider Identifier
1356387716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
56863 Issued in GA
Legal business name
IMMANUEL WOMEN'S CENTER, L.L.C
Practice address
106 Hospital Dr
Suite 6
Chatsworth, GA 30705-2070
Phone
(706) 517-4444
Fax
(706) 517-4455
NPI assigned
Jun 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Benjamin Nwadike
Title
Practice Administrator
Phone
(404) 759-7318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 56863 GA Primary

Addresses

Primary practice location

106 Hospital Dr
Suite 6
Chatsworth, GA 30705-2070

Mailing address

PO Box 1868
Dalton, GA 30722-1868
Phone (706) 517-4444

National Provider Directory

National Provider Directory

Locations

106 Hospital Dr
Ste 6
Chatsworth, GA 30705
Phone (706) 517-4444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356387716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1868",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307221868",
            "telephone_number": "706-517-4444",
            "fax_number": "706-517-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HOSPITAL DR",
            "address_2": "SUITE 6",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052070",
            "telephone_number": "706-517-4444",
            "fax_number": "706-517-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL WOMEN'S CENTER, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NWADIKE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-759-7318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "56863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.