NPIMap

Organization Active NPI

Douglas Womens Center PC

  • Obstetrics & Gynecology Physician
  • Lithia Springs, GA
National Provider Identifier
1407840069
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207V00000X Issued in GA
Legal business name
DOUGLAS WOMENS CENTER PC
Practice address
880 Crestmark Dr
Suite 200
Lithia Springs, GA 30122-2646
Phone
(770) 941-8662
Fax
(770) 739-6006
NPI assigned
Sep 9, 2005
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Dr. Lisa Ortenzi, MDNPI 1538153101
Title
President
Phone
(770) 941-8662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

880 Crestmark Dr
Suite 200
Lithia Springs, GA 30122-2646

Mailing address

880 Crestmark Dr
Suite 200
Lithia Springs, GA 30122-2646
Phone (770) 941-8662

National Provider Directory

National Provider Directory

Locations

880 Crestmark Dr
Ste 200
Lithia Springs, GA 30122
Phone (404) 941-8662

Practitioners & affiliated clinicians

Practitioners 5

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": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1407840069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CRESTMARK DR",
            "address_2": "SUITE 200",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222646",
            "telephone_number": "770-941-8662",
            "fax_number": "770-739-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CRESTMARK DR",
            "address_2": "SUITE 200",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222646",
            "telephone_number": "770-941-8662",
            "fax_number": "770-739-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS WOMENS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "ORTENZI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-941-8662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "207V00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

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