Southern Crescent Women's Health Specialists

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

67788 Issued in GA

Legal business name

SOUTHERN CRESCENT WOMEN'S HEALTH SPECIALISTS

Doing business as

women's health specialists

Practice address

115 Eagle Sprign Dr
Stockbridge, GA 30281

Phone

(770) 474-0064

Fax

(770) 474-2998

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Lynn Stapleton

Title

Practice Manager

Phone

(770) 474-0064

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• women's health specialists Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Southern Crescent Women's Health Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southern Crescent Womens Health Specialists at Eagle's Landing

  dba Women's Health Specialists

  • Specialist
  • Stockbridge, GA
  • NPI 1952518698
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reagan Amanda Burge, CNM

  • Advanced Practice Midwife
  • Demorest, GA
  • NPI 1790259125
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1437554847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAGLE SPRING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816486",
            "telephone_number": "770-474-0064",
            "fax_number": "770-474-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAGLE SPRIGN DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-474-0064",
            "fax_number": "770-474-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CRESCENT WOMEN'S HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-474-0064"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "67788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689836892",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "women's health specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Crescent Nephrology, PC
• Southern Crescent Pain Management LLC
• Southern Crescent Pediatrics PC
• Southern Crescent Plastic Surgery ASC
• Southern Crescent Plastic Surgery, PC
• Southern Crescent Womens Health Specialists at Eagle's Landing (Women's Health Specialists)
• Southern Medical Clinic LLC
• Southern Medical Clinic, LLC
• Southside Behavioral Health, Inc. (Behavioral Healthcare Solutions, Inc.)
• Southside Kidney Clinics, PC

• Obstetrics & Gynecology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.