Organization Active NPI

The Center for Black Womens Wellness CBWW Inc

  • Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1669813580
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
THE CENTER FOR BLACK WOMENS WELLNESS CBWW INC
Practice address
477 Windsor St SW
Suite #309
Atlanta, GA 30312-2530
Phone
(404) 688-9202
Fax
(404) 688-9435
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Tonya Young
Title
Clinic Manager
Phone
(404) 688-9202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

477 Windsor St SW
Suite #309
Atlanta, GA 30312-2530

Mailing address

477 Windsor St SW
Suite #309
Atlanta, GA 30312-2530
Phone (404) 688-9202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250927000232 GA Part B Supplier - Clinic/Group Practice 6901301035 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1048129Center for Black Womens Wellness, Inc477 Windsor Street, Room 309, Atlanta, GA 30312Provider-performed microscopyNov 21, 2027

National Provider Directory

National Provider Directory

Locations

477 Windsor St SW
Ste 309
Atlanta, GA 30312
Phone (404) 688-9202

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1669813580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 WINDSOR ST SW",
            "address_2": "SUITE #309",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122530",
            "telephone_number": "404-688-9202",
            "fax_number": "404-688-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 WINDSOR ST SW",
            "address_2": "SUITE #309",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122530",
            "telephone_number": "404-688-9202",
            "fax_number": "404-688-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR BLACK WOMENS WELLNESS CBWW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "404-688-9202"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, 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 Aug 8, 2025; 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.

Verify at the official NPI Registry.