Active NPI
The Woman's Care Center
- Obstetrics & Gynecology Physician
- Milledgeville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 47654
- Legal business name
- THE WOMAN'S CARE CENTER
- Practice address
- 1001 Fernwood Dr
Milledgeville, GA 31061-5416 - Phone
- (478) 453-8100
- Fax
- (478) 453-8186
- NPI assigned
- Sep 22, 2006
- Last updated
- Nov 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marisol San Inocencio, MD
- Title
- Owner
- Phone
- (478) 453-8100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 47654 | GA | Primary |
Addresses
Primary practice location
1001 Fernwood Dr
Milledgeville, GA 31061-5416
Mailing address
PO Box 669
Milledgeville, GA 31059-0669
Phone (478) 453-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000833566D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0979516 | Woman's Care Center PC, the | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
1097 Lake Oconee Pkwy
#204
Eatonton, GA 31024
Phone (706) 485-0801
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Milledgeville, GA
- NPI 1831166081
-
- Family Nurse Practitioner
- Eatonton, GA
- NPI 1720334931
-
- Family Nurse Practitioner
- Milledgeville, GA
- NPI 1912591116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321315200000",
"number": "1669572541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310590669",
"telephone_number": "478-453-8100",
"fax_number": "478-453-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 FERNWOOD DR",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310615416",
"telephone_number": "478-453-8100",
"fax_number": "478-453-8186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WOMAN'S CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2011-11-15",
"status": "A",
"authorized_official_last_name": "SAN INOCENCIO",
"authorized_official_first_name": "MARISOL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-453-8100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "47654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000833566D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.