Organization Active NPI

Caronette Fibroid and Pelvic Wellness Center

  • Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1548093677
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Otis Lawrence Stitt III, MDNPI 1245362706
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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.