Her Wellness Center, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

67050 Issued in GA

Legal business name

HER WELLNESS CENTER, LLC

Practice address

1763 Highway 196 W
Hinesville, GA 31313-8013

Phone

(215) 498-7964

NPI assigned

Jun 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Patrice Moore, MD

Title

Obstetrician/Gynecologist

Phone

(215) 498-7964

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HER Wellness Center, LLC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16224/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1356870547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 HIGHWAY 196 W",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313138013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 HIGHWAY 196 W",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313138013",
            "telephone_number": "215-498-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "OBSTETRICIAN/GYNECOLOGIST",
        "authorized_official_telephone_number": "215-498-7964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "67050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119950D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HER Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Christine Hayes, FNP-C
• Audrey Heath
• Heavenly Hands and Heart Home Care LLC
• Kayla Hendrix
• Kayleigh Henning-Krasner
• Ashley Herlocker, P.T.
• Sandra Herrera, LPN
• Davey Donald Herring, M.D.
• Bobby Louis Herrington, MD
• Joseph Richard Herzog, LCSW

• Gynecology Physician in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.