Active NPI
Macon Women's Health Clinic, LLC
- Specialist
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 051343
- Legal business name
- MACON WOMEN'S HEALTH CLINIC, LLC
- Practice address
- 718 1St St
Macon, GA 31201-6840 - Phone
- (478) 742-5502
- Fax
- (478) 742-5505
- NPI assigned
- Jul 8, 2015
- Last updated
- Jul 8, 2015
- 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
- Felisha Love Kitchen, MD
- Title
- Owner/Physician
- Phone
- (478) 742-5502
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 051343 | GA | Primary |
Addresses
Primary practice location
718 1St St
Macon, GA 31201-6840
Mailing address
718 1St St
Macon, GA 31201-6840
Phone (478) 742-5502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 560266765B | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Felisha L Kitchen MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Felisha L. Kitchen, MD
- Obstetrics & Gynecology Physician
- Macon, GA
- NPI 1609199579
Practitioners & affiliated clinicians
Practitioners 1
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
- Macon, GA
- NPI 1114926201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436313600000",
"number": "1689057689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 1ST ST",
"city": "MACON",
"state": "GA",
"postal_code": "312016840",
"telephone_number": "478-742-5502",
"fax_number": "478-742-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 1ST ST",
"city": "MACON",
"state": "GA",
"postal_code": "312016840",
"telephone_number": "478-742-5502",
"fax_number": "478-742-5505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACON WOMEN'S HEALTH CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A",
"authorized_official_last_name": "KITCHEN",
"authorized_official_first_name": "FELISHA",
"authorized_official_middle_name": "LOVE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "478-742-5502",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "051343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "560266765B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.