Organization Active NPI

Imagine Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1639081490
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
IMAGINE GYNECOLOGY LLC
Practice address
1075 Zonolite Rd NE Ste 1E
Atlanta, GA 30306-2013
Phone
(864) 483-9621
NPI assigned
Sep 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Dr. Charis Chambers, MD
Title
Owner
Phone
(864) 483-9621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1075 Zonolite Rd NE Ste 1E
Atlanta, GA 30306-2013

Mailing address

1075 Zonolite Rd NE Ste 1E
Atlanta, GA 30306-2013
Phone (864) 483-9621

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1639081490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 ZONOLITE RD NE STE 1E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062013",
            "telephone_number": "864-483-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 ZONOLITE RD NE STE 1E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062013",
            "telephone_number": "864-483-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "CHARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-483-9621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.