Macon Womens Health Clinic, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MACON WOMENS HEALTH CLINIC, LLC

Practice address

718 1St St
Macon, GA 31201-6840

Phone

(478) 742-5502

Fax

(478) 742-5505

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Felisha L. Kitchen, MDNPI 1114926201

Title

Owner & Physician

Phone

(478) 742-5502

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Felisha L. Kitchen, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Felisha L Kitchen MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Macon Women'S Health Clinic, LLC

  • Specialist
  • Macon, GA
  • NPI 1689057689
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felisha Love Kitchen, M.D.

  • Obstetrics & Gynecology Physician
  • Macon, GA
  • NPI 1114926201
  Medicare reassignment NPD Authorized official
• Christina Marie Cox, M.D.

  • Obstetrics & Gynecology Physician
  • Austell, GA
  • NPI 1396002572
  NPD (past)
• Adela' Marie Narcisse, M.D.

  • Obstetrics & Gynecology Physician
  • Slidell, LA
  • NPI 1891972410
  NPD (past)

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1609199579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016840",
            "telephone_number": "478-742-5502",
            "fax_number": "478-742-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016840",
            "telephone_number": "478-742-5502",
            "fax_number": "478-742-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON WOMENS HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER & PHYSICIAN",
        "authorized_official_telephone_number": "478-742-5502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560266765B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739099977D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Felisha L. Kitchen, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Macon, GA
• Providers in Macon, 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 May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.