Center for Restorative Reproductive Surgery, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

CENTER FOR RESTORATIVE REPRODUCTIVE SURGERY, LLC

Practice address

3965 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-2203

Phone

(770) 450-8677

Fax

(678) 792-8927

NPI assigned

Jul 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Kongoasa, MDNPI 1376895946

Title

Medical Director

Phone

(770) 450-8677

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicholas Kongoasa, MD, FACOG

  • Gynecology Physician
  • Norcross, GA
  • NPI 1376895946
  NPD Authorized official

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1669968251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 HOLCOMB BRIDGE RD STE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922203",
            "telephone_number": "770-450-8677",
            "fax_number": "678-792-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 HOLCOMB BRIDGE RD STE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922203",
            "telephone_number": "770-450-8677",
            "fax_number": "678-792-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RESTORATIVE REPRODUCTIVE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "KONGOASA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-450-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Young Caulfield, RN
• Eva Cendon Gonzalez
• Center for Intentional Wellness, LLC
• Center for Pan Asian Community Services, Inc.
• Center for Rare Neurological Diseases
• Centro de Salud Familiar Norcross Medical Clinic LLC
• Centro Medico San Antonio LLC
• Centro Prenatal de Norcross Corp.
• Janet Chakkalapadavil, OTR/L
• Nicole Desiree Chambers

• Gynecology Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.