Active NPI
Chattahoochee Gynecology PC
- Gynecology Physician
- Duluth, GA
National Provider Identifier
1477627743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 31141
- Legal business name
- CHATTAHOOCHEE GYNECOLOGY PC
- Practice address
- 6610 McGinnis Ferry Road Suite 100
Duluth, GA 30097 - Phone
- (770) 813-8742
- Fax
- (770) 813-1776
- NPI assigned
- Nov 20, 2006
- Last updated
- Aug 22, 2020
- 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
- Laura A Tsakins
- Title
- President
- Phone
- (770) 813-8742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 31141 | GA | Primary |
Addresses
Primary practice location
6610 McGinnis Ferry Road Suite 100
Duluth, GA 30097
Mailing address
6610 McGinnis Ferry Road Suite 100
Duluth, GA 30097
Phone (770) 813-8742
Other names 1
- Chattahooche OBGYN PC
National Provider Directory
National Provider DirectoryLocations
9 Dunwoody Park
Ste 108
Dunwoody, GA 30338
Phone (770) 399-5055
6610 McGinnis Ferry Rd
Ste 100
Johns Creek, GA 30097
Phone (770) 813-8742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477627743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6610 MCGINNIS FERRY ROAD SUITE 100",
"city": "DULUTH",
"state": "GA",
"postal_code": "30097",
"telephone_number": "770-813-8742",
"fax_number": "770-813-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6610 MCGINNIS FERRY ROAD SUITE 100",
"city": "DULUTH",
"state": "GA",
"postal_code": "30097",
"telephone_number": "770-813-8742",
"fax_number": "770-813-1776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATTAHOOCHEE GYNECOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TSAKINS",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-813-8742"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "31141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chattahooche OBGYN PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.