Active NPI
Women's Healthcare Center of Georgia
- Specialist
- Austell, GA
National Provider Identifier
1427326495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 040926
- Legal business name
- WOMEN'S HEALTHCARE CENTER OF GEORGIA
- Practice address
- 3875 Austell Rd
Suite 301
Austell, GA 30106-1103 - Phone
- (770) 739-1200
- NPI assigned
- Dec 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Hudson
- Title
- Owner
- Phone
- (770) 739-1200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 040926 | GA | Primary |
Addresses
Primary practice location
3875 Austell Rd
Suite 301
Austell, GA 30106-1103
Mailing address
3875 Austell Rd
Suite 301
Austell, GA 30106-1103
Phone (770) 739-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00682316B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/8725/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Austell, GA
- NPI 1659339711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1427326495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 AUSTELL RD",
"address_2": "SUITE 301",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061103",
"telephone_number": "770-739-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 AUSTELL RD",
"address_2": "SUITE 301",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061103",
"telephone_number": "770-739-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALTHCARE CENTER OF GEORGIA",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-739-1200"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "040926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00682316B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.