Atlanta North Gynecology, P.C.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

021428 Issued in GA

Legal business name

ATLANTA NORTH GYNECOLOGY, P.C.

Practice address

11050 Crabapple Rd
Suite 111D
Roswell, GA 30075-2489

Phone

(770) 992-2691

Fax

(770) 518-8042

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Linda G Reisman

Title

Cfo Sec/Treas.

Phone

(770) 992-2691

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1487784468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD",
            "address_2": "SUITE 111D",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752489",
            "telephone_number": "770-992-2691",
            "fax_number": "770-518-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD",
            "address_2": "SUITE 111D",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752489",
            "telephone_number": "770-992-2691",
            "fax_number": "770-518-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA NORTH GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "REISMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO SEC/TREAS.",
        "authorized_official_telephone_number": "770-992-2691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "021428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.