Organization Active NPI

Chattahoochee Gynecology PC

  • Gynecology Physician
  • Duluth, GA
National Provider Identifier
1477627743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
31141 Issued in GA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.