Women'S Imaging Specialists - Eagles Walk, LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

WOMEN'S IMAGING SPECIALISTS - EAGLES WALK, LLC

Practice address

135 Eagles Walk Ste 200
Stockbridge, GA 30281-7391

Phone

(866) 300-8512

Fax

(800) 889-0010

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Reddy

Title

Manager

Phone

(866) 300-8512

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1518794387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 WINDWARD PKWY STE 230",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058861",
            "telephone_number": "866-300-8512",
            "fax_number": "800-613-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 EAGLES WALK STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817391",
            "telephone_number": "866-300-8512",
            "fax_number": "800-889-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S IMAGING SPECIALISTS - EAGLES WALK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "866-300-8512"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James H Wolf Jr., LMT
• Elizabeth Matheny Wolfe, PA
• Paula Maria Woll, PAC
• Women'S Health Specialists 2 LLC
• Women'S Imaging Specialists - Eagles Landing, LLC
• Chongmyong Daniel Won, PA-C
• Jane Soo Woo, MD
• Chereny Woodard, DPT
• Chantelle Marie Woodley
• Carrie Ann Woodruff, FNP

• Mammography Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Mammography Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.