Active NPI
Phoenix Women'S Center, P.C.
- Gynecology Physician
- College Park, GA
National Provider Identifier
1487693875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- PHOENIX WOMEN'S CENTER, P.C.
- Practice address
- 1720 Phoenix Blvd
College Park, GA 30349-5594 - Phone
- (404) 446-4792
- Fax
- (404) 446-4793
- NPI assigned
- Jun 4, 2006
- 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
- Lesa Crews
- Title
- Manager
- Phone
- (404) 446-4792
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
1720 Phoenix Blvd
College Park, GA 30349-5594
Mailing address
1720 Phoenix Blvd
College Park, GA 30349-5594
Phone (404) 446-4792
National Provider Directory
National Provider DirectoryLocations
1720 Phoenix Blvd
College Park, GA 30349
Phone (770) 909-8007
1720 Phoenix Blvd
Ste 700
College Park, GA 30349
Phone (404) 446-4792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226361600000",
"number": "1487693875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 PHOENIX BLVD",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303495594",
"telephone_number": "404-446-4792",
"fax_number": "404-446-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 PHOENIX BLVD",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303495594",
"telephone_number": "404-446-4792",
"fax_number": "404-446-4793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX WOMEN'S CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2008-11-11",
"status": "A",
"authorized_official_last_name": "CREWS",
"authorized_official_first_name": "LESA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "404-446-4792"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
- Felicia R Perry, LPC
- Personal Quality Private Duty Sitting Services LLLP
- Phenix Community Care Group, LLC
- Nicole Regina Phifer, MA,ST, BA
- Phoenix Medical Office at College Park,LLC
- Physiotherapy Associates Inc
- Gabrielle Pointer
- Polaris Spine & Neurosurgery Center PC
- Positive Impact HHS, Inc.
- Precious Cargo Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.