Atlanta West Women's Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35023 Issued in GA

Legal business name

ATLANTA WEST WOMEN'S CENTER

Practice address

4904 Timber Ridge Dr
Suite 303
Douglasville, GA 30135-1828

Phone

(770) 920-9745

Fax

(770) 920-9760

NPI assigned

Jan 27, 2011

Last updated

Mar 5, 2012By 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

Dr. Jaswant S Chaddha, MD

Title

Owner

Phone

(770) 920-9745

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3334/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1629374418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 TIMBER RIDGE DR",
            "address_2": "SUITE 303",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351828",
            "telephone_number": "770-920-9745",
            "fax_number": "770-920-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 TIMBER RIDGE DR",
            "address_2": "SUITE 303",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351828",
            "telephone_number": "770-920-9745",
            "fax_number": "770-920-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA WEST WOMEN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "CHADDHA",
        "authorized_official_first_name": "JASWANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-920-9745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "35023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000478244B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.