Organization Active NPI

Westerwell Gynecology Health & Wellness, Inc

  • Gynecology Physician
  • Columbus, GA
National Provider Identifier
1376326520
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
WESTERWELL GYNECOLOGY HEALTH & WELLNESS, INC
Practice address
4100 Woodruff Rd # H200
Columbus, GA 31904-6876
Phone
(706) 967-9378
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Amanda Fromkin
Title
Credentialing MGR
Phone
(706) 494-3071

Specialties & licenses 1

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

Addresses

Primary practice location

4100 Woodruff Rd # H200
Columbus, GA 31904-6876

Mailing address

PO Box 370
Fortson, GA 31808-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231030002058 GA Part B Supplier - Clinic/Group Practice 4981050804 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, GA
O20260519003133 AL Part B Supplier - Clinic/Group Practice 4981050804 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, AL

National Provider Directory

National Provider Directory

Locations

4100 Woodruff Rd
#H200
Columbus, GA 31904
Phone (706) 967-9378

4100 Woodruff Rd
Ste H200
Columbus, GA 31904
Phone (706) 967-9378

Practitioners & affiliated clinicians

Practitioners 3

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": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1376326520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WOODRUFF RD # H200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046876",
            "telephone_number": "706-967-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERWELL GYNECOLOGY HEALTH & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "FROMKIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "706-494-3071"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.