Active NPI
Caronette Fibroid and Pelvic Wellness Center
- Gynecology Physician
- Atlanta, GA
National Provider Identifier
1548093677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- CARONETTE FIBROID AND PELVIC WELLNESS CENTER
- Practice address
- 314 Pharr Rd NE
Atlanta, GA 30305-2486 - Phone
- (844) 200-1715
- NPI assigned
- Aug 23, 2024
- 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
- Otis Lawrence Stitt III, MD
- Title
- President/Ceo
- Phone
- (706) 662-3129
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
314 Pharr Rd NE
Atlanta, GA 30305-2486
Mailing address
11886 Healing Way Ste 520
Silver Spring, MD 20904-7917
Phone (240) 524-7272
Other names 1
- Caronette Fibroid Center
National Provider Directory
National Provider DirectoryLocations
11886 Healing Way
Ste 520
Silver Spring, MD 20904
Phone (240) 524-7272
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Silver Spring, MD
- NPI 1245362706
-
- Family Nurse Practitioner
- Silver Spring, MD
- NPI 1558988006
-
- Obstetrics & Gynecology Physician
- Silver Spring, MD
- NPI 1477539054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1548093677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11886 HEALING WAY STE 520",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047917",
"telephone_number": "240-524-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 PHARR RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052486",
"telephone_number": "844-200-1715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARONETTE FIBROID AND PELVIC WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "STITT",
"authorized_official_first_name": "OTIS",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "706-662-3129",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Caronette Fibroid Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.