Organization Active NPI

Women's Health Enterprise, Inc

Doing business as Family Health Enterprise

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1376874958
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN058116NP Issued in GA
Legal business name
WOMEN'S HEALTH ENTERPRISE, INC
Doing business as
Family Health Enterprise
Practice address
634 McDonough Blvd SE
Atlanta, GA 30315-4424
Phone
(404) 635-1300
Fax
(404) 635-1320
NPI assigned
Jan 21, 2010
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Ms. Dorothy K Gallaway, CFNPNPI 1558433086
Title
Executive Director
Phone
(404) 635-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN058116NP GA Primary

Addresses

Primary practice location

634 McDonough Blvd SE
Atlanta, GA 30315-4424

Mailing address

634 McDonough Blvd SE
Atlanta, GA 30315-4424
Phone (404) 635-1300

Other identifiers 1

IdentifierTypeStateIssuer
85001070GMedicaidGA

Other names 1

  • Family Health Enterprise Doing business as

National Provider Directory

National Provider Directory

Locations

634 McDonough Blvd SE
Atlanta, GA 30315
Phone (404) 635-1300

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": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1376874958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 MCDONOUGH BLVD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303154424",
            "telephone_number": "404-635-1300",
            "fax_number": "404-635-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 MCDONOUGH BLVD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303154424",
            "telephone_number": "404-635-1300",
            "fax_number": "404-635-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH ENTERPRISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "GALLAWAY",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-635-1300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN058116NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001070G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Enterprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.