Organization Active NPI

Phoenix Women'S Center, P.C.

  • Gynecology Physician
  • College Park, GA
National Provider Identifier
1487693875
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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

Updated by the provider on Nov 11, 2008

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.