NPIMap

Organization Active NPI

Tressa Scineaux

Doing business as Assertive OB GYN

  • Obstetrics & Gynecology Physician
  • Norcross, GA
National Provider Identifier
1417241399
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
49499 Issued in GA
Legal business name
TRESSA SCINEAUX
Doing business as
Assertive OB GYN
Practice address
5720 Buford Hwy
Suite 102
Norcross, GA 30071-2577
Phone
(770) 729-1600
Fax
(770) 729-1676
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Mr. Rod Redmon
Title
Business Manager
Phone
(770) 817-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 49499 GA Primary

Addresses

Primary practice location

5720 Buford Hwy
Suite 102
Norcross, GA 30071-2577

Mailing address

10800 Alpharetta Hwy
Suite 208 553
Roswell, GA 30076-1490
Phone (770) 817-1970

Other identifiers 1

IdentifierTypeStateIssuer
549451921GMedicaidGA

Other names 1

  • Assertive OB GYN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assertive OB GYN3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1417241399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 ALPHARETTA HWY",
            "address_2": "SUITE 208 553",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761490",
            "telephone_number": "770-817-1970",
            "fax_number": "770-817-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BUFORD HWY",
            "address_2": "SUITE 102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712577",
            "telephone_number": "770-729-1600",
            "fax_number": "770-729-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESSA SCINEAUX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "REDMON",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-817-1970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "49499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549451921G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assertive OB GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.