Villa Rica OB GYN Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

VILLA RICA OB GYN INC

Practice address

690 Dallas Hwy Ste 301
Villa Rica, GA 30180-1263

Phone

(770) 456-3850

Fax

(770) 456-3826

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbi Macaluso- Peare

Title

Director of Financial Operations

Phone

(770) 838-8544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558411272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 DALLAS HWY STE 301",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801263",
            "telephone_number": "770-456-3850",
            "fax_number": "770-456-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 DALLAS HWY STE 301",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801263",
            "telephone_number": "770-456-3850",
            "fax_number": "770-456-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA RICA OB GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACALUSO- PEARE",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "770-838-8544"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Villa Rica Behavioral Health PC
• Villa Rica Dental Smiles LLC
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• Villa Rica RX LLC (Villa Rica Drugs LTC)
• Villa Rica RX LLC (Villa Rica Drugs)
• Richard Brent Wadsworth Jr., LAPC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2732)
• Wal-Mart Stores East, LP (Vision Center 30-2732)

• Obstetrics & Gynecology Physician in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.